LEONARD MANOR

The information listed below provides an in-depth look into the type and quality of care offered at Leonard Manor. 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

LEONARD MANOR
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

38%

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

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Nearby Cities:

Wolfe City | Bonham | Savoy

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 ServicesResident ConditionsPercent of Service Days

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1646.2%
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 DayReportedExpected
Registered Nurse (RN) Hours36 Minutes59 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours37 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 23 Minutes2 Hours and 27 Minutes
Total Licensed Nurse Hours1 Hour and 13 Minutes1 Hour and 39 Minutes
Total Nurse Hours3 Hours and 36 Minutes4 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 FacilityTexas Average

Long-Term Stay Preventive Actions

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

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse25%12%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased40%18%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder46%46%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Long-Stay Residents Who Were Physically Restrained3%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair17%6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious14%13%
Percent of Long-Stay Residents Who Lose Too Much Weight1%6%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection16%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores14%12%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season83%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 InspectorsDegree of HarmResidents Affected

Environmental

Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 08/15/2008
  • Correction Date: 01/01/1900
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 07/23/2010
  • Correction Date: 01/01/1900

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/23/2010
  • Correction Date: 08/20/2010

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 ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Complaint Filed: 06/26/2009
  • Correction Date: 07/16/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/09/2010
  • Correction Date: 05/10/2010

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.
  • Complaint Filed: 04/09/2010
  • Correction Date: 05/10/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 04/09/2010
  • Correction Date: 05/10/2010

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Portable Fire Extinguishers.
  • Inspection Date: 07/21/2010
  • Correction Date: 08/20/2010

Building Service Equipment

An Externally Vented Heating System.
  • Inspection Date: 06/24/2009
  • Correction Date: 08/08/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 07/21/2010
  • Correction Date: 01/01/1900
Properly Protected Cooking Facilities.
  • Inspection Date: 07/21/2010
  • Correction Date: 08/20/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 08/14/2008
  • Correction Date: 09/28/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 06/24/2009
  • Correction Date: 07/31/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 07/21/2010
  • Correction Date: 01/01/1900

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/24/2009
  • Correction Date: 08/08/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/21/2010
  • Correction Date: 08/20/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 07/21/2010
  • Correction Date: 08/20/2010
Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 07/21/2010
  • Correction Date: 08/20/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 08/14/2008
  • Correction Date: 09/15/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 07/21/2010
  • Correction Date: 08/20/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 08/14/2008
  • Correction Date: 09/02/2008
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 06/24/2009
  • Correction Date: 08/08/2009
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011