SIGNATURE POINTE ON THE LAKE HEALTHCARE COMMUNITY

The information listed below provides an in-depth look into the type and quality of care offered at Signature Pointe on the Lake Healthcare Community. 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

SIGNATURE POINTE ON THE LAKE HEALTHCARE COMMUNITY
14655 PRESTON RD
DALLAS, TX 75254
(972) 726-7575

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

55%

Number of Residents and Certified Beds

  • Residents: 108
  • Certified Beds: 195

This Facility Accepts

  • Medicare

Operational Details

  • Operated By For Profit - Partnership
  • Offers Only Resident Counseling
  • Part of a Continuing Care Retirement Community (CCRC)
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Richardson | Carrollton | Plano

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 "Ultra-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 Signature Pointe on the Lake Healthcare Community. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.1%
ADL Index Range: 2-100.2%
Total Percent:1.3%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-100.7%
Total Percent:0.7%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.3%
Total Percent:0.3%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.6%
Total Percent:0.6%
 

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: 11-1626.4%
ADL Index Range: 6-1011.0%
ADL Index Range: 0-54.5%
Total Percent:41.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1620.7%
ADL Index Range: 6-109.3%
ADL Index Range: 0-57.8%
Total Percent:37.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.1%
ADL Index Range: 6-100.7%
ADL Index Range: 0-52.2%
Total Percent:10.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.5%
ADL Index Range: 6-100.1%
Total Percent:1.6%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 0-100.2%
Total Percent:0.2%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
0.10%
ADL Index Range: 6-10
- No Signs of depression
1.1%
ADL Index Range: 2-5
- No Signs of depression
0.5%
Total Percent:1.7%
 

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: 15-16
- No Signs of depression
0.1%
ADL Index Range: 11-14
- No Signs of depression
1.5%
ADL Index Range: 6-10
- No Signs of depression
1.1%
Total Percent:2.8%
 

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
0.8%
Total Percent:0.8%
 

Rating Details For Signature Pointe on the Lake Healthcare Community

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 DayReportedExpected
Registered Nurse (RN) Hours1 Hour1 Hour and 48 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours2 Hours and 2 Minutes56 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 49 Minutes2 Hours and 42 Minutes
Total Licensed Nurse Hours3 Hours and 3 Minutes2 Hours and 44 Minutes
Total Nurse Hours6 Hours and 52 Minutes5 Hours and 26 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 FacilityTexas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%91%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased5%18%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse7%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection4%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Long-Stay Residents Who Lose Too Much Weight11%6%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder52%46%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious9%13%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%12%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%79%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain7%16%
Percent of Short-Stay Residents Who Have Pressure Sores9%11%

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 05/20/2011.

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 InspectorsDegree of HarmResidents Affected

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 06/18/2010
  • Correction Date: 08/01/2010
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 05/20/2011
  • Correction Date: 07/04/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 06/18/2010
  • Correction Date: 08/01/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/24/2009
  • Correction Date: 09/07/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 06/18/2010
  • Correction Date: 08/24/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 06/18/2010
  • Correction Date: 08/01/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 06/18/2010
  • Correction Date: 08/01/2010

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 TakenDateAmount
Civil Money Penalty (CMP)06/18/2010$1,800

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Signature Pointe on the Lake Healthcare Community, 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 ComplaintsDegree of HarmResidents Affected

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Complaint Filed: 07/24/2009
  • Correction Date: 09/07/2009

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 Signature Pointe on the Lake Healthcare Community 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 05/20/2011.

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 InspectorsDegree of HarmResidents Affected

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 06/17/2010
  • Correction Date: 08/01/2010
Properly Constructed Linen or Trash Chutes.
  • Inspection Date: 06/17/2010
  • Correction Date: 08/01/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/17/2010
  • Correction Date: 08/01/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/17/2010
  • Correction Date: 08/01/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 07/29/2009
  • Correction Date: 09/07/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 06/17/2010
  • Correction Date: 08/01/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 06/17/2010
  • Correction Date: 08/01/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/17/2010
  • Correction Date: 08/01/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 06/17/2010
  • Correction Date: 08/01/2010
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011