SAN JUAN NURSING HOME INC

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

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 04/07/2011.

Administration

Post Nurse Staffing Information. Inspection Date: 04/07/2011 Correction Date: 05/02/2011
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/07/2011 Correction Date: 05/02/2011

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 04/07/2011 Correction Date: 05/02/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 04/14/2010 Correction Date: 05/12/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/14/2010 Correction Date: 05/12/2010

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 04/29/2009 Correction Date: 05/22/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 04/07/2011 Correction Date: 05/02/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 04/07/2011 Correction Date: 05/02/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 04/07/2011 Correction Date: 05/02/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 04/29/2009 Correction Date: 05/22/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 04/14/2010 Correction Date: 05/12/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 04/14/2010 Correction Date: 05/12/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 04/07/2011 Correction Date: 05/02/2011

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 04/14/2010 Correction Date: 05/12/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 04/07/2011 Correction Date: 05/02/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/07/2011 Correction Date: 05/02/2011

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.

The table below lists incident reports by the nursing staff or administration for San Juan Nursing Home Inc, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 07/02/2009 Correction Date: 07/17/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Complaint Filed: 03/31/2009 Correction Date: 04/24/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Complaint Filed: 03/31/2009 Correction Date: 04/24/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 04/07/2011 Correction Date: 05/02/2011

Resident Rights

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: 03/31/2009 Correction Date: 04/24/2009

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 San Juan Nursing Home Inc 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 04/07/2011.

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 04/30/2009 Correction Date: 05/22/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 04/15/2010 Correction Date: 01/01/1900
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/15/2010 Correction Date: 01/01/1900

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 04/15/2010 Correction Date: 01/01/1900

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 04/15/2010 Correction Date: 01/01/1900

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 04/30/2009 Correction Date: 05/04/2009