MIMOSA MANOR
Address
459 KELLER PKWY
KELLER, TX 76248
(817) 431-2518
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 123
- Certified Beds: 150
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Both Resident and Family Counseling Services
- This Facility is Part of a Chain or Franchise
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 Mimosa Manor. 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
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 11-16 | 16.8% |
ADL Index Range: 6-10 | 29.4% |
ADL Index Range: 0-5 | 35.9% |
Total Percent: | 82.1% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 3.3% |
ADL Index Range: 6-10 | 3.9% |
ADL Index Range: 0-5 | 3.6% |
Total Percent: | 10.9% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 2.2% |
ADL Index Range: 6-10 | 0.1% |
Total Percent: | 2.3% |
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 | 2.6% |
ADL Index Range: 6-10 - No Signs of depression | 2.2% |
Total Percent: | 4.8% |
Rating Details For Mimosa Manor
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 | 26 Minutes | 1 Hour and 14 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 44 Minutes | 42 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 6 Minutes | 2 Hours and 23 Minutes |
Total Licensed Nurse Hours | 1 Hour and 10 Minutes | 1 Hour and 56 Minutes |
Total Nurse Hours | 3 Hours and 16 Minutes | 4 Hours and 19 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 Have Moderate to Severe Pain | 1% | 4% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 45% | 46% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 1% | 9% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 17% | 12% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 13% | 13% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 3% | 5% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 6% | 12% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 2% | 3% |
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 Increased | 29% | 18% |
Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 1% | 6% |
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 Had Moderate to Severe Pain | 1% | 16% |
Percent of Short-Stay Residents Who Have Pressure Sores | 13% | 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 01/07/2011.
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
Give or Get Lab Tests to Meet the Needs of Residents.
| ||
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
| ||
Give or Get Lab Tests to Meet the Needs of Residents.
| ||
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
|
Environmental
Provide Needed Housekeeping and Maintenance.
| ||
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| ||
Keep Safe, Clean and Homelike Surroundings.
| ||
Provide Needed Housekeeping and Maintenance.
| ||
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| ||
Have a Program to Keep Infection from Spreading.
|
Nutrition and Dietary
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
| ||
Store, Cook, and Give out Food in a Safe and Clean Way.
| ||
Provide Food in a Way That Meets a Resident's Needs.
| ||
Store, Cook, and Give out Food in a Safe and Clean Way.
| ||
Make Sure That Residents Are Well Nourished.
| ||
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
| ||
Store, Cook, and Give out Food in a Safe and Clean Way.
|
Pharmacy Service
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
| ||
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
| ||
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
|
Quality Care
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
| ||
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.
| ||
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
| ||
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
| ||
Make Sure That Each Resident's Nutritional Needs Were Met.
|
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.
| ||
Have a Private Telephone Available for Use.
| ||
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
| ||
Make Sure That Private Space is Available in the Nursing Home for Resident Groups or Residents' Families to Meet.
| ||
Keep Each Resident's Personal and Medical Records Private and Confidential.
| ||
Have a Private Telephone Available for Use.
|
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 Taken | Date | Amount |
Civil Money Penalty (CMP) | 03/19/2009 | $1,300 |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Mimosa Manor, 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 |
Administration
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
| ||
Keep Accurate and Appropriate Medical Records.
|
Environmental
Provide Needed Housekeeping and Maintenance.
| ||
Keep All Essential Equipment Working Safely.
| ||
Provide Needed Housekeeping and Maintenance.
| ||
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
|
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.
| ||
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
|
Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
|
Quality Care
Give or Get Dental Care for Each Resident.
| ||
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
| ||
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
|
Resident Rights
Keep Each Resident's Personal and Medical Records Private and Confidential.
| ||
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
|
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 Mimosa Manor 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 01/06/2011.
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 |
Automatic Sprinkler Systems
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
| ||
Properly Working Alarms on Sprinkler Valves.
|
Building Service Equipment
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
| ||
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
| ||
Properly Protected Cooking Facilities.
|
Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
| ||
Corridor and Hallway Doors That Block Smoke.
| ||
Corridor and Hallway Doors That Block Smoke.
|
Electrical
Properly Installed Electrical Wiring and Equipment.
|
Exits and Egress
Exits That Are Accessible at All Times.
|
Furnishings and Decorations
Exits That Are Free from Obstructions and Can Be Used at All Times.
| ||
Exits That Are Free from Obstructions and Can Be Used at All Times.
| ||
Exits That Are Free from Obstructions and Can Be Used at All Times.
|
Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
|
Interior Finish
Fire-Resistant Interior Walls.
|
Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
| ||
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
|
Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
|