CARE INN OF LA GRANGE

The information listed below provides an in-depth look into the type and quality of care offered at Care Inn of La Grange. 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

CARE INN OF LA GRANGE
457 N MAIN ST
LA GRANGE, TX 78945
(979) 968-5865

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

56%

Number of Residents and Certified Beds

Residents: 55
Certified Beds: 98

This Facility Accepts

Medicare
Medicaid

Operational Details

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

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Nearby Cities:

Schulenburg | Weimar | Smithville

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 Care Inn of La Grange. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
A second rehabilitation discipline three days/week
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: 11-16	2.8%
Total Percent:	2.8%

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
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: 11-16	1.8%
Total Percent:	1.8%

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: 11-16	19.5%
ADL Index Range: 6-10	13.9%
ADL Index Range: 0-5	22.7%
Total Percent:	56.1%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	14.7%
ADL Index Range: 6-10	7.0%
ADL Index Range: 0-5	16.0%
Total Percent:	37.8%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	1.5%
Total Percent:	1.5%

Rating Details For Care Inn of La Grange

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 Day	Reported	Expected
Registered Nurse (RN) Hours	23 Minutes	58 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	49 Minutes	37 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 15 Minutes	2 Hours and 22 Minutes
Total Licensed Nurse Hours	1 Hour and 12 Minutes	1 Hour and 35 Minutes
Total Nurse Hours	3 Hours and 26 Minutes	3 Hours and 57 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 Facility

Texas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	91%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	2%	6%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	13%	12%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	4%	5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	25%	13%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	-	3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	16%	12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	53%	46%
Percent of Long-Stay Residents Who Were Physically Restrained	5%	4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	1%	4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	12%	18%
Percent of Long-Stay Residents Who Lose Too Much Weight	8%	6%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	5%	9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	85%	84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	79%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain	1%	16%
Percent of Short-Stay Residents Who Have Pressure Sores	11%	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 07/22/2010.

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 Inspectors

Degree of Harm

Residents Affected

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 03/27/2008 Correction Date: 04/30/2008
Quickly Tell the Resident's Doctor the Results of Lab Tests. Inspection Date: 03/27/2008 Correction Date: 04/30/2008
Train All Employees on What to Do in an Emergency. Inspection Date: 03/27/2008 Correction Date: 04/27/2008
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 07/22/2010 Correction Date: 07/23/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 03/27/2008 Correction Date: 04/27/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/27/2008 Correction Date: 04/15/2008
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 03/27/2008 Correction Date: 03/27/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/27/2008 Correction Date: 04/30/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 03/27/2008 Correction Date: 04/27/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/22/2010 Correction Date: 07/23/2010
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 07/22/2010 Correction Date: 07/23/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 03/27/2008 Correction Date: 04/30/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/27/2008 Correction Date: 04/27/2008
Hire Enough Skilled Workers to Carry out Dietary Service. Inspection Date: 07/22/2010 Correction Date: 07/23/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 07/22/2010 Correction Date: 07/23/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/22/2010 Correction Date: 07/23/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.

Inspection Date: 03/27/2008
Correction Date: 04/30/2008

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 03/27/2008 Correction Date: 04/30/2008
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 07/22/2010 Correction Date: 07/23/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 07/22/2010 Correction Date: 07/23/2010

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: 03/27/2008 Correction Date: 04/30/2008
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 03/27/2008 Correction Date: 04/30/2008
Get Doctor Orders for the Resident's Immediate Care when Admitted. Inspection Date: 07/22/2010 Correction Date: 07/23/2010

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 03/27/2008 Correction Date: 04/15/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 03/27/2008 Correction Date: 04/30/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 07/22/2010 Correction Date: 08/22/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Care Inn of La Grange, 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 Complaints

Degree of Harm

Residents Affected