LEONARD MANOR
Address
902 E HACKBERRY
LEONARD, TX 75452
(903) 587-2282
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 30
- Certified Beds: 79
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- 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 "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 Leonard Manor. 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 |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 46.2% |
Total Percent: | 46.2% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16 - Signs of depression | 3.4% |
ADL Index Range: 11-14 - Signs of depression | 1.7% |
Total Percent: | 5.1% |
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: 11-14 - Signs of depression | 12.0% |
ADL Index Range: 11-14 - No Signs of depression | 22.2% |
Total Percent: | 34.2% |
Behavioral Symptoms and Cognitive Performance
- Cognitive impairment BIMS score less than or equal to 9
- CPS great than or equal to 3
- Hallucinations or delusions
- Physical or verbal behavioral symptoms toward others
- Other behavioral symptoms
- Rejection of care or wandering
- Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5 - Less restorative nursing | 12.0% |
Total Percent: | 12.0% |
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: 0-1 - Less restorative nursing | 2.6% |
Total Percent: | 2.6% |
Rating Details For Leonard Manor
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 | 36 Minutes | 59 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 37 Minutes | 39 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 23 Minutes | 2 Hours and 27 Minutes |
Total Licensed Nurse Hours | 1 Hour and 13 Minutes | 1 Hour and 39 Minutes |
Total Nurse Hours | 3 Hours and 36 Minutes | 4 Hours and 5 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 Given Influenza Vaccination During the Flu Season | 90-100% | 91% |
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 88% |
Long-Term Stay Deficiencies
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 3% | 3% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 7% | 5% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 25% | 12% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 40% | 18% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 46% | 46% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 1% | 4% |
Percent of Long-Stay Residents Who Were Physically Restrained | 3% | 4% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 17% | 6% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 14% | 13% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 1% | 6% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 16% | 9% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 14% | 12% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 79% |
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 83% | 84% |
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 07/23/2010.
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 |
Environmental
Provide Rooms That Are Big Enough for Each Resident.
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Provide Rooms That Are Big Enough for Each Resident.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Leonard Manor, 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 |
Environmental
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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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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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 Leonard Manor 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 07/21/2010.
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 |
Automatic Sprinkler Systems
Portable Fire Extinguishers.
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Building Service Equipment
An Externally Vented Heating System.
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Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
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Properly Protected Cooking Facilities.
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Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Exits and Egress
Exits That Are Accessible at All Times.
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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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Illumination and Emergency Power
Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Properly Located and Lighted "Exit" Signs.
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Smoke Compartmentation and Control
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
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Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
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Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
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Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
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