ROBERT LEE CARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Robert Lee Care Center. 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

ROBERT LEE CARE CENTER
307 WEST 8TH ST
ROBERT LEE, TX 76945
(325) 453-2511

Nursing Home Ratings

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

Percent of Beds Occupied

54%

Number of Residents and Certified Beds

  • Residents: 43
  • Certified Beds: 79

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - Hospital District
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Bronte | San Angelo | Sterling City

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 Robert Lee Care Center. 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

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1620.3%
ADL Index Range: 6-1012.3%
ADL Index Range: 0-520.7%
Total Percent:53.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.9%
ADL Index Range: 6-106.2%
ADL Index Range: 0-510.1%
Total Percent:17.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-169.3%
ADL Index Range: 0-511.9%
Total Percent:21.1%
 

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: 2-5
- No Signs of depression
2.2%
Total Percent:2.2%
 

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: 0-1
- Less restorative nursing
6.2%
Total Percent:6.2%
 

Rating Details For Robert Lee Care Center

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) Hours25 Minutes50 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours56 Minutes34 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 35 Minutes2 Hours and 8 Minutes
Total Licensed Nurse Hours1 Hour and 21 Minutes1 Hour and 24 Minutes
Total Nurse Hours3 Hours and 55 Minutes3 Hours and 32 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 Have/Had a Catheter Inserted and Left in Their Bladder4%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious25%13%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder33%46%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%4%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores23%12%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse12%12%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-6%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased19%18%
Percent of Long-Stay Residents Who Lose Too Much Weight8%6%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%79%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores17%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain33%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 05/27/2010.

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

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 03/13/2008
  • Correction Date: 05/12/2008
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/26/2009
Have a Detailed, Written Plan for Disasters and Emergencies.
  • Inspection Date: 05/27/2010
  • Correction Date: 06/27/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/25/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/11/2008
Keep All Essential Equipment Working Safely.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/26/2009

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.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/26/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 05/27/2010
  • Correction Date: 06/27/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 05/27/2010
  • Correction Date: 06/27/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 05/27/2010
  • Correction Date: 06/27/2010

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: 03/13/2008
  • Correction Date: 04/11/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/11/2008

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)01/14/2011$2,600

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Robert Lee Care Center, 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: 10/06/2010
  • Correction Date: 11/06/2010
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 01/14/2011
  • Correction Date: 02/22/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 01/14/2011
  • Correction Date: 02/22/2011

Mistreatment

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: 02/18/2010
  • Correction Date: 03/18/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 02/18/2010
  • Correction Date: 03/18/2010
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 02/18/2010
  • Correction Date: 03/18/2010
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: 05/27/2010
  • Correction Date: 06/27/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 05/27/2010
  • Correction Date: 06/27/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 01/14/2011
  • Correction Date: 02/22/2011
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: 01/14/2011
  • Correction Date: 02/22/2011
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 01/14/2011
  • Correction Date: 02/22/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 07/11/2008
  • Correction Date: 08/11/2008

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: 07/11/2008
  • Correction Date: 08/11/2008

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 Robert Lee Care Center 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 05/25/2010.

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

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/25/2010
  • Correction Date: 06/25/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/25/2010
  • Correction Date: 05/28/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 05/25/2010
  • Correction Date: 06/27/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 05/25/2010
  • Correction Date: 05/29/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 05/25/2010
  • Correction Date: 06/09/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/25/2010
  • Correction Date: 06/01/2010
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011