BROWNWOOD NURSING AND REHABILITATION LP

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

BROWNWOOD NURSING AND REHABILITATION LP
101 MILLER DR
BROWNWOOD, TX 76801
(325) 643-9555

Nursing Home Ratings

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

Percent of Beds Occupied

48%

Number of Residents and Certified Beds

  • Residents: 62
  • Certified Beds: 130

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:

Bangs | Coleman | Comanche

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 Brownwood 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: 11-161.6%
Total Percent:1.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1618.3%
ADL Index Range: 6-109.3%
ADL Index Range: 0-512.8%
Total Percent:40.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.5%
ADL Index Range: 6-105.1%
ADL Index Range: 0-511.1%
Total Percent:23.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-169.2%
ADL Index Range: 6-100.4%
ADL Index Range: 0-512.7%
Total Percent:22.3%
 

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: 11-162.5%
Total Percent:2.5%
 

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: 15-16
- No Signs of depression
2.8%
Total Percent:2.8%
 

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
4.7%
Total Percent:4.7%
 

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: 2-5
- Less restorative nursing
0.5%
ADL Index Range: 0-1
- Less restorative nursing
1.5%
Total Percent:2.0%
 

Rating Details For Brownwood 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) Hours19 Minutes1 Hour and 5 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 2 Minutes41 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 5 Minutes2 Hours and 23 Minutes
Total Licensed Nurse Hours1 Hour and 20 Minutes1 Hour and 45 Minutes
Total Nurse Hours3 Hours and 25 Minutes4 Hours and 9 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%91%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination83%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair15%6%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain6%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious5%13%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased27%18%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%9%
Percent of Long-Stay Residents Who Lose Too Much Weight6%6%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder41%46%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder9%5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores12%12%
Percent of Long-Stay Residents Who Were Physically Restrained6%4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season81%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination60%79%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores13%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain25%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 08/05/2010.

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

Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 06/25/2009
  • Correction Date: 07/25/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 05/22/2008
  • Correction Date: 06/30/2008

Nutrition and Dietary

1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Inspection Date: 05/22/2008
  • Correction Date: 06/30/2008
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 06/25/2009
  • Correction Date: 07/25/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 06/25/2009
  • Correction Date: 07/25/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/25/2009
  • Correction Date: 07/25/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 08/05/2010
  • Correction Date: 09/15/2010
Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 08/05/2010
  • Correction Date: 08/31/2010
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Inspection Date: 08/05/2010
  • Correction Date: 08/31/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/05/2010
  • Correction Date: 08/31/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 06/25/2009
  • Correction Date: 07/25/2009

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 06/25/2009
  • Correction Date: 07/25/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 06/25/2009
  • Correction Date: 07/25/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 05/22/2008
  • Correction Date: 06/30/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 06/25/2009
  • Correction Date: 07/25/2009

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 05/22/2008
  • Correction Date: 06/30/2008

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)06/01/2009$1,625
Civil Money Penalty (CMP)06/25/2009$6,500

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Brownwood 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

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Complaint Filed: 12/10/2008
  • Correction Date: 01/10/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 06/01/2009
  • Correction Date: 01/01/1900

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 01/11/2010
  • Correction Date: 02/15/2010
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: 01/11/2010
  • Correction Date: 02/15/2010
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: 05/25/2010
  • Correction Date: 06/21/2010
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 05/25/2010
  • Correction Date: 06/21/2010
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 05/25/2010
  • Correction Date: 06/21/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 05/25/2010
  • Correction Date: 06/21/2010

Quality Care

Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 01/07/2011
  • Correction Date: 01/10/2011

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 Brownwood 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 08/04/2010.

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

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 05/21/2008
  • Correction Date: 06/30/2008

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 06/25/2009
  • Correction Date: 07/25/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 08/04/2010
  • Correction Date: 01/01/1900

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 06/25/2009
  • Correction Date: 07/25/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/04/2010
  • Correction Date: 09/15/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 06/25/2009
  • Correction Date: 07/25/2009

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 05/21/2008
  • Correction Date: 06/30/2008
Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 06/25/2009
  • Correction Date: 07/25/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 06/25/2009
  • Correction Date: 11/21/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 08/04/2010
  • Correction Date: 08/31/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 06/25/2009
  • Correction Date: 07/25/2009
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011