AZALEA PLACE OPERATING COMPANY LLC
The information listed below provides an in-depth look into the type and quality of care offered at Azalea Place Operating Company LLC. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
AZALEA PLACE OPERATING COMPANY LLC
810 S PORTER ST
TYLER, TX 75701
(903) 593-2463
810 S PORTER ST
TYLER, TX 75701
(903) 593-2463
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
45%Number of Residents and Certified Beds
- Residents: 73
- Certified Beds: 162
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Partnership
- Offers Only Resident Counseling
- This Facility is Not Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Azalea Place Operating Company LLC. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 5.0% |
| ADL Index Range: 6-10 | 3.6% |
| ADL Index Range: 0-5 | 14.2% |
| Total Percent: | 22.8% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 13.0% |
| ADL Index Range: 6-10 | 15.1% |
| ADL Index Range: 0-5 | 24.9% |
| Total Percent: | 53.0% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 0-5 | 14.0% |
| Total Percent: | 14.0% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 0-5 | 3.3% |
| Total Percent: | 3.3% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
| ADL Index Range: 0-1 - No Signs of depression | 1.1% |
| Total Percent: | 1.1% |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
| ADL Index Range: 6-10 - Less restorative nursing | 5.8% |
| Total Percent: | 5.8% |
Rating Details For Azalea Place Operating Company LLC
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 27 Minutes | 55 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 38 Minutes | 33 Minutes |
| Certified Nursing Assistant (CNA) Hours | 1 Hour and 49 Minutes | 2 Hours and 7 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 5 Minutes | 1 Hour and 28 Minutes |
| Total Nurse Hours | 2 Hours and 53 Minutes | 3 Hours and 35 Minutes |
Quality of Care - 
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Texas Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 53% | 88% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 87% | 91% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 5% | 9% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 3% | 5% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 2% | 3% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 13% | 18% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 4% | 13% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 4% | 4% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 11% | 12% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 21% | 6% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 8% | 12% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 53% | 46% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 6% | 6% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 33% | 79% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 70% | 84% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Delirium | 1% | 3% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 4% | 11% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 16% | 16% |
Health Inspection Details - 
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 02/09/2011.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Hire a Qualified Activities Director.
|  |  |
Keep Accurate and Appropriate Medical Records.
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Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
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Give or Get Lab Tests to Meet the Needs of Residents.
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Quickly Tell the Resident's Doctor the Results of Lab Tests.
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Keep Accurate and Appropriate Medical Records.
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Environmental
Have a Program to Keep Infection from Spreading.
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Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
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Have a Program to Keep Infection from Spreading.
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Nutrition and Dietary
Provide Food in a Way That Meets a Resident's Needs.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Properly Mark Drugs and Other Similar Products.
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Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Enforcement
Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.
| Action Taken | Date | Amount |
| Civil Money Penalty (CMP) | 05/04/2011 | $2,275 |
| Civil Money Penalty (CMP) | 11/25/2009 | $3,567 |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Azalea Place Operating Company LLC, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Mistreatment
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
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Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
| | |
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
| | |
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
| | |
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
| | |
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
| | |
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
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Pharmacy Service
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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Quality Care
Give Professional Services That Follow Each Resident's Written Care Plan.
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Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
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Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Azalea Place Operating Company LLC had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 02/08/2011.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Building Construction
Approved Construction Type or Materials.
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Electrical
Weekly Inspections and Monthly Testing of Generators.
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Properly Installed Electrical Wiring and Equipment.
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Properly Installed Electrical Wiring and Equipment.
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Weekly Inspections and Monthly Testing of Generators.
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Fire Alarm Systems
An Automatic Smoke Detection System in All Hallways.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
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Vertical Openings
Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
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Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011
