TERRACE WEST NURSING AND REHABILITATION LP

The information listed below provides an in-depth look into the type and quality of care offered at Terrace West Nursing and Rehabilitation Lp. 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

TERRACE WEST NURSING AND REHABILITATION LP
2800 MIDLAND DR
MIDLAND, TX 79707
(432) 697-3108

Nursing Home Ratings

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

Percent of Beds Occupied

78%

Number of Residents and Certified Beds

  • Residents: 115
  • Certified Beds: 147

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Odessa | Stanton | Andrews

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 Terrace West Nursing and Rehabilitation Lp. 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

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-163.8%
ADL Index Range: 6-1029.1%
ADL Index Range: 0-512.9%
Total Percent:45.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.9%
ADL Index Range: 6-101.4%
ADL Index Range: 0-52.2%
Total Percent:10.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-107.2%
ADL Index Range: 0-54.0%
Total Percent:11.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-102.2%
ADL Index Range: 0-50.5%
Total Percent:2.7%
 

Extensive Services

  • 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: 2-16
- Tracheostomy care or ventilator/respirator
6.7%
Total Percent:6.7%
 

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: 6-10
- No Signs of depression
0.3%
ADL Index Range: 2-5
- Signs of depression
2.2%
Total Percent:2.6%
 

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: 6-10
- No Signs of depression
4.2%
Total Percent:4.2%
 

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
- No Signs of depression
5.1%
Total Percent:5.1%
 

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
4.8%
ADL Index Range: 0-1
- Less restorative nursing
0.6%
Total Percent:5.4%
 

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
- Two or more restorative nursing on 6+ days/wk
1.0%
ADL Index Range: 6-10
- Less restorative nursing
4.8%
Total Percent:5.8%
 

Rating Details For Terrace West Nursing and Rehabilitation Lp

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) Hours8 Minutes1 Hour and 3 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours38 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 9 Minutes2 Hours and 16 Minutes
Total Licensed Nurse Hours46 Minutes1 Hour and 43 Minutes
Total Nurse Hours2 Hours and 55 Minutes3 Hours and 59 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 Long-Stay Residents Who Are More Depressed or Anxious38%13%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder58%46%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%5%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-6%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores13%12%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased19%18%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Lose Too Much Weight3%6%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain10%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection4%9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination86%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores26%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain18%16%
Percent of Short-Stay Residents Who Have Delirium-3%

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 03/11/2011.

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

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 03/20/2009
  • Correction Date: 04/08/2009
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 03/20/2009
  • Correction Date: 03/30/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 03/25/2010
  • Correction Date: 04/16/2010
Quickly Tell the Resident's Doctor the Results of Lab Tests.
  • Inspection Date: 03/11/2011
  • Correction Date: 04/12/2011

Environmental

Provide Clean Bed and Bath Linens That Are in Good Condition.
  • Inspection Date: 03/25/2010
  • Correction Date: 04/16/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/11/2011
  • Correction Date: 04/12/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/11/2011
  • Correction Date: 04/12/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 03/11/2011
  • Correction Date: 04/12/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 03/20/2009
  • Correction Date: 03/30/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 03/20/2009
  • Correction Date: 04/30/2009

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 03/11/2011
  • Correction Date: 04/12/2011

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 03/20/2009
  • Correction Date: 03/30/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 03/25/2010
  • Correction Date: 04/16/2010

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)08/22/2008$910
Civil Money Penalty (CMP)09/24/2009$5,000
Civil Money Penalty (CMP)02/05/2010$5,850

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Terrace West Nursing and Rehabilitation Lp, 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: 07/17/2008
  • Correction Date: 08/08/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/17/2008
  • Correction Date: 08/13/2008
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 08/22/2008
  • Correction Date: 08/29/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 09/24/2009
  • Correction Date: 09/24/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 12/01/2009
  • Correction Date: 12/31/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 02/05/2010
  • Correction Date: 03/05/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 08/22/2008
  • Correction Date: 08/29/2008
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: 03/11/2011
  • Correction Date: 04/12/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 03/11/2011
  • Correction Date: 04/12/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Complaint Filed: 07/29/2010
  • Correction Date: 08/31/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 07/29/2010
  • Correction Date: 08/31/2010

Quality Care

Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 08/22/2008
  • Correction Date: 08/29/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 09/24/2009
  • Correction Date: 10/23/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 09/24/2009
  • Correction Date: 10/23/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 03/25/2010
  • Correction Date: 04/16/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 12/01/2009
  • Correction Date: 12/31/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 08/22/2008
  • Correction Date: 08/29/2008
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 08/22/2008
  • Correction Date: 08/29/2008
Send and Promptly Deliver Unopened Mail to Residents.
  • Complaint Filed: 08/22/2008
  • Correction Date: 08/29/2008
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 12/01/2009
  • Correction Date: 12/31/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 03/25/2010
  • Correction Date: 04/16/2010
Have a Private Telephone Available for Use.
  • Complaint Filed: 07/05/2010
  • Correction Date: 08/05/2010

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 Terrace West Nursing and Rehabilitation Lp 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 03/16/2011.

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

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/18/2009
  • Correction Date: 03/24/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/24/2010
  • Correction Date: 04/16/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/12/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/18/2009
  • Correction Date: 03/30/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/12/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 03/24/2010
  • Correction Date: 04/16/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/24/2010
  • Correction Date: 04/16/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 03/24/2010
  • Correction Date: 04/16/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/12/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 03/18/2009
  • Correction Date: 03/23/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/18/2009
  • Correction Date: 03/30/2009
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011