THE PALMS NURSING AND REHABILITATION LP

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

THE PALMS NURSING AND REHABILITATION LP
5607 EVERHART RD
CORPUS CHRISTI, TX 78411
(361) 854-4601

Nursing Home Ratings

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

Percent of Beds Occupied

87%

Number of Residents and Certified Beds

  • Residents: 172
  • Certified Beds: 198

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Partnership
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Portland | Robstown | Aransas Pass

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 The Palms 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: 6-108.1%
ADL Index Range: 0-515.5%
Total Percent:23.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-105.1%
ADL Index Range: 0-517.2%
Total Percent:22.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-57.3%
Total Percent:7.3%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.3%
ADL Index Range: 6-106.4%
ADL Index Range: 0-53.6%
Total Percent:11.4%
 

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
- Isolation for active infectious disease
3.5%
Total Percent:3.5%
 

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: 11-14
- No Signs of depression
7.3%
Total Percent:7.3%
 

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
16.3%
Total Percent:16.3%
 

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
2.8%
ADL Index Range: 6-10
- No Signs of depression
2.3%
Total Percent:5.1%
 

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: 11-14
- Less restorative nursing
1.0%
ADL Index Range: 6-10
- Less restorative nursing
2.3%
Total Percent:3.3%
 

Rating Details For The Palms 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) Hours16 Minutes59 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour40 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours2 Hours and 21 Minutes
Total Licensed Nurse Hours1 Hour and 16 Minutes1 Hour and 39 Minutes
Total Nurse Hours3 Hours and 17 Minutes4 Hours

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

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%9%
Percent of Long-Stay Residents Who Lose Too Much Weight8%6%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious3%13%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores12%12%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse4%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain6%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased7%18%
Percent of Long-Stay Residents Who Were Physically Restrained3%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder53%46%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair7%6%

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 Season90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain27%16%
Percent of Short-Stay Residents Who Have Pressure Sores16%11%
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 09/23/2010.

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

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/23/2010
  • Correction Date: 10/29/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 09/05/2008
  • Correction Date: 10/20/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/05/2008
  • Correction Date: 10/20/2008

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 09/23/2010
  • Correction Date: 10/29/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/19/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/19/2009

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: 09/03/2009
  • Correction Date: 10/19/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/19/2009

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
Denial of Payment for New Admission (DPNA)04/24/2009-

Deficiencies from Complaints and Incidents

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

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 07/08/2009
  • Correction Date: 07/14/2009
Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 07/08/2009
  • Correction Date: 07/14/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 04/24/2009
  • Correction Date: 06/15/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 04/24/2009
  • Correction Date: 06/15/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 07/08/2009
  • Correction Date: 07/14/2009

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 04/24/2009
  • Correction Date: 06/15/2009

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 The Palms 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 09/22/2010.

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

Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 09/22/2010
  • Correction Date: 09/23/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 09/02/2009
  • Correction Date: 01/01/1900
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 09/22/2010
  • Correction Date: 01/01/1900

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/04/2008
  • Correction Date: 10/19/2008

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 09/02/2009
  • Correction Date: 10/19/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/02/2009
  • Correction Date: 10/19/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 09/22/2010
  • Correction Date: 09/23/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/22/2010
  • Correction Date: 10/29/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 09/02/2009
  • Correction Date: 10/19/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 09/22/2010
  • Correction Date: 09/23/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/04/2008
  • Correction Date: 10/19/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/02/2009
  • Correction Date: 10/19/2009

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 09/04/2008
  • Correction Date: 10/19/2008
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011