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South Congress Care & Rehabilitation
110 E LIVE OAK ST
Austin, TX 78704
(512) 444-3511
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 170 |
| Number of Residents: | 124 |
| Percent of Occupied Beds: | 73% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Both |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: |  |
| Quality Measures: | |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20070921 | Health | Environmental Deficiencies | Provide needed housekeeping and maintenance. | Isolated | Minimal harm or potential for actual harm | 20071031 |
| 20070921 | Health | Pharmacy Service Deficiencies | Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Pattern | Minimal harm or potential for actual harm | 20071031 |
| 20080602 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm | 20080704 |
| 20080602 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Widespread | Minimal harm or potential for actual harm | 20080704 |
| 20080602 | Health | Environmental Deficiencies | Make sure there is a program to prevent/deal with mice, insects, or other pests. | Pattern | Minimal harm or potential for actual harm | 20080704 |
| 20080602 | Health | Administration Deficiencies | Make sure that nurse aides show they have the skills to be able to care for residents. | Pattern | Minimal harm or potential for actual harm | 20080704 |
| 20080602 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Immediate jeopardy to resident health or safety | 20081015 |
| 20080602 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Pattern | Minimal harm or potential for actual harm | 20080704 |
| 20080602 | Health | Resident Rights Deficiencies | 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. | Isolated | Immediate jeopardy to resident health or safety | 20081015 |
| 20080801 | Health | Environmental Deficiencies | Keep safe, clean and homelike surroundings. | Pattern | Minimal harm or potential for actual harm | 20080820 |
| 20080801 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Minimal harm or potential for actual harm | 20080820 |
| 20080801 | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Pattern | Minimal harm or potential for actual harm | 20080820 |
| 20090731 | Health | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | Widespread | Minimal harm or potential for actual harm | 20091213 |
| 20090731 | Health | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Pattern | Minimal harm or potential for actual harm | 20090831 |
| 20090731 | Health | Environmental Deficiencies | Make sure there is a program to prevent/deal with mice, insects, or other pests. | Widespread | Minimal harm or potential for actual harm | 20090831 |
| 20090731 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Widespread | Minimal harm or potential for actual harm | 20090831 |
| 20090731 | Health | Environmental Deficiencies | Provide needed housekeeping and maintenance. | Widespread | Minimal harm or potential for actual harm | 20091213 |
| 20090731 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Pattern | Minimal harm or potential for actual harm | 20090831 |
| 20090731 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | 20090831 |
| 20090731 | Health | Resident Rights Deficiencies | Try to resolve each resident's complaints quickly. | Pattern | Minimal harm or potential for actual harm | 20090831 |
| 20090731 | Health | Mistreatment Deficiencies | 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. | Isolated | Minimal harm or potential for actual harm | 20090831 |
| 20090731 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20090831 |
| 20091016 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for actual harm | 20091019 |
| 20091016 | Health | Quality Care Deficiencies | 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. | Isolated | Minimal harm or potential for actual harm | 20091019 |
| 20091016 | Health | Pharmacy Service Deficiencies | Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Pattern | Minimal harm or potential for actual harm | 20091019 |
| 20091016 | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Isolated | Minimal harm or potential for actual harm | 20091019 |
| 20091016 | Health | Nutrition and Dietary Deficiencies | Provide food in a way that meets a resident's needs. | Isolated | Minimal harm or potential for actual harm | 20091213 |
| 20100225 | Health | Resident Rights Deficiencies | Try to resolve each resident's complaints quickly. | Pattern | Minimal harm or potential for actual harm | 20100301 |
| 20100716 | Health | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | Pattern | Minimal harm or potential for actual harm | 20100816 |
| 20100716 | Health | Environmental Deficiencies | Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. | Widespread | Minimal harm or potential for actual harm | 20100816 |
| 20100825 | Health | Environmental Deficiencies | Make sure there is a program to prevent/deal with mice, insects, or other pests. | Pattern | Minimal harm or potential for actual harm | 20101001 |
| 20100916 | Health | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable. | Pattern | Minimal harm or potential for actual harm | 20100920 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 95 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 94 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 11 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 15 | |
| Percent of low-risk long-stay residents who have pressure sores: | 0 | |
| Percent of long-stay residents who were physically restrained: | 2 | |
| Percent of long-stay residents who are more depressed or anxious: | 23 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 47 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 6 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 6 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 8 | |
| Percent of long-stay residents who had a urinary tract infection: | 6 | |
| Percent of long-stay residents who lose too much weight: | 10 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 92 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 87 | |
| Percent of short-stay residents who have delirium: | 5 | |
| Percent of short-stay residents who had moderate to severe pain: | 5 | |
| Percent of short-stay residents who have pressure sores: | 10 | |
| # of Residents: | 124 |
| # RN Hours per Resident: | 0.42 |
| # LPN Hours per Resident: | 1.28 |
| # CNA Hours per Resident: | 2.75 |
| Total Staff Hours per Resident: | 1.7 |
