Legend Oaks Healthcare And Rehabilitation Center G

1201 FM 2685
Gladewater, TX 75647
(903) 845-2175
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 100
Number of Residents: 70
Percent of Occupied Beds: 70%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Partnership
Located Within a Hospital? No
Multi Nursing Home Ownership? Yes
Resident and Family Councils? Resident
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? No
Overall: 3 Star Overall Rating
Health Inspection: 4 Star Health Inspection Rating
Nurse Staffing: 1 Star Nurse Staffing Rating
Quality Measures: 3 Star Quality Measures Rating
RN Only: 1 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20080130 Health Resident Rights Deficiencies Keep each resident's personal and medical records private and confidential. Pattern Minimal harm or potential for actual harm 20080131
20080130 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 20080131
20080426 Health Mistreatment Deficiencies Keep each resident free from physical restraints, unless needed for medical treatment. Pattern Minimal harm or potential for actual harm 20080505
20080426 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Pattern Minimal harm or potential for actual harm 20080505
20090225 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. Pattern Minimal harm or potential for actual harm 20090320
20090225 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. Pattern Minimal harm or potential for actual harm 20090320
20090307 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 20090406
20100429 Health Environmental Deficiencies Have a program to keep infection from spreading. Pattern Minimal harm or potential for actual harm 20100512
20100826 Health Nutrition and Dietary Deficiencies Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Isolated Minimal harm or potential for actual harm 20100924
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 78
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 80
Percent of long-stay residents whose need for help with daily activities has increased: 13
Percent of long-stay residents who have moderate to severe pain: 12
Percent of high-risk long-stay residents who have pressure sores: 10
Percent of low-risk long-stay residents who have pressure sores: 0
Percent of long-stay residents who were physically restrained: 3
Percent of long-stay residents who are more depressed or anxious: 19
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 43
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 3
Percent of long-stay residents who spend most of their time in bed or in a chair: 11
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: 16
Percent of long-stay residents who lose too much weight: 5
Percent of short-stay residents given influenza vaccination during the flu season: 88
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 78
Percent of short-stay residents who have delirium: 1
Percent of short-stay residents who had moderate to severe pain: 21
Percent of short-stay residents who have pressure sores: 6
# of Residents: 70
# RN Hours per Resident: 0.2
# LPN Hours per Resident: 0.82
# CNA Hours per Resident: 2.1
Total Staff Hours per Resident: 1.02