MARINE CREEK NURSING AND REHABILITATION LP

The information listed below provides an in-depth look into the type and quality of care offered at Marine Creek Nursing and Rehabilitation Lp. 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

MARINE CREEK NURSING AND REHABILITATION LP
3600 ANGLE AVE
FORT WORTH, TX 76106
(817) 624-6164

Nursing Home Ratings

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

Percent of Beds Occupied

76%

Number of Residents and Certified Beds

  • Residents: 130
  • Certified Beds: 170

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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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 Marine Creek Nursing and Rehabilitation Lp. 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

High Rehabilitation Plus Extensive Services

Rehabilitation 325 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: 11-160.5%
Total Percent:0.5%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • 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: 11-161.4%
ADL Index Range: 2-101.4%
Total Percent:2.7%
 

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: 11-168.1%
ADL Index Range: 6-1013.6%
Total Percent:21.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1615.8%
ADL Index Range: 6-1018.0%
ADL Index Range: 0-510.5%
Total Percent:44.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.2%
ADL Index Range: 6-101.8%
Total Percent:8.9%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-166.5%
ADL Index Range: 6-106.5%
ADL Index Range: 0-53.4%
Total Percent:16.4%
 

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: 6-10
- No Signs of depression
0.2%
Total Percent:0.2%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
2.7%
Total Percent:2.7%
 

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: 6-10
- No Signs of depression
0.4%
Total Percent:0.4%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
0.6%
ADL Index Range: 2-5
- Less restorative nursing
0.10%
ADL Index Range: 0-1
- Less restorative nursing
1.4%
Total Percent:2.1%
 

Rating Details For Marine Creek Nursing and Rehabilitation Lp

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) Hours27 Minutes1 Hour and 5 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours50 Minutes42 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 13 Minutes2 Hours and 23 Minutes
Total Licensed Nurse Hours1 Hour and 16 Minutes1 Hour and 47 Minutes
Total Nurse Hours3 Hours and 29 Minutes4 Hours and 10 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 Season80%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 Are More Depressed or Anxious7%13%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%5%
Percent of Long-Stay Residents Who Lose Too Much Weight2%6%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse3%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores9%12%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased24%18%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder46%46%
Percent of Long-Stay Residents Who Were Physically Restrained4%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair8%6%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season80%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 Delirium1%3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain14%16%
Percent of Short-Stay Residents Who Have Pressure Sores12%11%

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 04/07/2011.

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 InspectorsDegree of HarmResidents Affected

Administration

Give Lab Tests Only when the Attending Doctor Ordered Them.
  • Inspection Date: 02/25/2009
  • Correction Date: 03/02/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 02/25/2009
  • Correction Date: 03/02/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/26/2010
  • Correction Date: 04/30/2010
Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed.
  • Inspection Date: 03/26/2010
  • Correction Date: 04/30/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/07/2011
  • Correction Date: 04/22/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/25/2009
  • Correction Date: 03/12/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/07/2011
  • Correction Date: 04/29/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 02/25/2009
  • Correction Date: 03/20/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 02/25/2009
  • Correction Date: 03/13/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 04/07/2011
  • Correction Date: 04/30/2011
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/07/2011
  • Correction Date: 04/08/2011

Quality Care

Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 03/26/2010
  • Correction Date: 04/30/2010

Resident Rights

Send and Promptly Deliver Unopened Mail to Residents.
  • Inspection Date: 02/25/2009
  • Correction Date: 02/27/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 02/25/2009
  • Correction Date: 03/16/2009

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)08/21/2009$7,119

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Marine Creek Nursing and Rehabilitation Lp, 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

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Complaint Filed: 01/08/2010
  • Correction Date: 02/20/2010
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 03/14/2011
  • Correction Date: 04/15/2011

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Complaint Filed: 08/21/2009
  • Correction Date: 01/01/1900
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Complaint Filed: 08/21/2009
  • Correction Date: 01/01/1900
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 08/21/2009
  • Correction Date: 01/01/1900
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 01/08/2010
  • Correction Date: 02/05/2010
Keep All Essential Equipment Working Safely.
  • Complaint Filed: 01/08/2010
  • Correction Date: 01/31/2010

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: 04/11/2008
  • Correction Date: 04/15/2008
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: 08/21/2009
  • Correction Date: 01/01/1900
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 08/21/2009
  • Correction Date: 01/01/1900
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 02/25/2010
  • Correction Date: 03/20/2010
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: 02/25/2010
  • Correction Date: 03/20/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Complaint Filed: 04/11/2008
  • Correction Date: 04/14/2008

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.
  • Complaint Filed: 02/25/2009
  • Correction Date: 03/30/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Complaint Filed: 04/30/2009
  • Correction Date: 05/15/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/06/2010
  • Correction Date: 06/02/2010
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.
  • Complaint Filed: 05/06/2010
  • Correction Date: 06/02/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 05/06/2010
  • Correction Date: 06/02/2010

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: 04/11/2008
  • Correction Date: 04/15/2008

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 Marine Creek Nursing and Rehabilitation Lp 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 04/07/2011.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/06/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/24/2010
  • Correction Date: 04/30/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/31/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/24/2010
  • Correction Date: 04/30/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/31/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 04/07/2011
  • Correction Date: 04/27/2011
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/07/2011
  • Correction Date: 04/08/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/03/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 04/07/2011
  • Correction Date: 04/27/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 02/26/2009
  • Correction Date: 02/27/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 04/07/2011
  • Correction Date: 04/18/2011

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 03/24/2010
  • Correction Date: 04/30/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 03/24/2010
  • Correction Date: 04/30/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/07/2011
  • Correction Date: 04/08/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 04/07/2011
  • Correction Date: 04/28/2011
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011