TRUMAN W SMITH CHILDRENS CARE CENTER

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

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 12/08/2010.

Administration

Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 12/08/2010 Correction Date: 01/28/2011

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 12/08/2010 Correction Date: 01/28/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 12/08/2010 Correction Date: 01/28/2011

Quality Care

Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 12/16/2009 Correction Date: 01/31/2010
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 12/08/2010 Correction Date: 01/28/2011

The table below lists incident reports by the nursing staff or administration for Truman W Smith Childrens Care Center, as well as complaints by residents or their family in the previous three years.

Environmental

Provide Needed Housekeeping and Maintenance. Complaint Filed: 01/27/2010 Correction Date: 02/26/2010

Quality Care

Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Complaint Filed: 07/09/2008 Correction Date: 08/22/2008
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Complaint Filed: 07/09/2008 Correction Date: 08/22/2008
Provide Activities to Meet the Needs of Each Resident. Complaint Filed: 09/24/2009 Correction Date: 10/16/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 09/24/2009 Correction Date: 10/16/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Complaint Filed: 01/27/2010 Correction Date: 02/26/2010

Resident Rights

Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home. Complaint Filed: 09/24/2009 Correction Date: 10/02/2009

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 Truman W Smith Childrens 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 12/07/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 12/15/2009 Correction Date: 01/31/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/27/2009 Correction Date: 02/21/2009

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 01/27/2009 Correction Date: 03/02/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 12/15/2009 Correction Date: 01/31/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 12/15/2009 Correction Date: 01/31/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 12/07/2010 Correction Date: 01/28/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 12/15/2009 Correction Date: 01/31/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 01/27/2009 Correction Date: 02/13/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 01/27/2009 Correction Date: 02/24/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 12/15/2009 Correction Date: 01/31/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 12/15/2009 Correction Date: 01/31/2010