HOMESTEAD NURSING AND REHABILITATION OF ITASCA
Address
409 S FILES ST
ITASCA, TX 76055
(254) 687-2383
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
51%Number of Residents and Certified Beds
- Residents: 42
- Certified Beds: 82
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
Rating Details For Homestead Nursing and Rehabilitation of Itasca
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 | 37 Minutes | 51 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 57 Minutes | 34 Minutes |
| Certified Nursing Assistant (CNA) Hours | 1 Hour and 51 Minutes | 2 Hours and 4 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 34 Minutes | 1 Hour and 25 Minutes |
| Total Nurse Hours | 3 Hours and 25 Minutes | 3 Hours and 28 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 High-Risk Long-Stay Residents Who Have Pressure Sores | 9% | 12% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 2% | 13% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 5% | 9% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 2% | 18% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 2% | 5% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 2% | 6% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 6% | 6% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 10% | 4% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 2% | 12% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 1% | 3% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 23% | 46% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 2% | 4% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 79% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 84% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Pressure Sores | - | 11% |
| Percent of Short-Stay Residents Who Have Delirium | 6% | 3% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 29% | 16% |
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 04/06/2011.
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.
|  |  |
Environmental
Keep All Essential Equipment Working Safely.
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Provide Rooms That Are Big Enough for Each Resident.
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Have a Program to Keep Infection from Spreading.
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Provide Rooms That Are Big Enough for Each Resident.
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Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed.
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Provide Needed Housekeeping and Maintenance.
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Provide Rooms That Are Big Enough for Each Resident.
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Quality Care
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week.
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Resident Rights
Keep Each Resident's Personal and Medical Records Private and Confidential.
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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 Homestead Nursing and Rehabilitation of Itasca 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 04/05/2011.
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 |
Building Construction
A Two-Hour-Resistant Firewall in Common Walls.
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Approved Construction Type or Materials.
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Building Service Equipment
An Externally Vented Heating System.
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Properly Protected Cooking Facilities.
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Properly Protected Cooking Facilities.
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Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
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Electrical
A Separate and Independent Backup Electrical Power Source.
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Exits and Egress
Exits That Are Accessible at All Times.
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Exits That Are Accessible at All Times.
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Exits That Are Accessible at All Times.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Illumination and Emergency Power
Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
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Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
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