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West Oaks Rehabilitation And Healthcare Center
3625 GREEN CREST
Houston, TX 77082
(281) 558-1166
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 136 |
| Number of Residents: | 120 |
| Percent of Occupied Beds: | 88% |
| 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 |
| 20071109 | 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 | Actual harm | 20071218 |
| 20071109 | Health | Resident Rights Deficiencies | Keep each resident's personal and medical records private and confidential. | Pattern | Minimal harm or potential for actual harm | 20071218 |
| 20071109 | Health | Resident Rights Deficiencies | Protect the resident from a transfer or discharge that is not wanted or needed. | Isolated | Minimal harm or potential for actual harm | 20071218 |
| 20071109 | Health | Resident Rights Deficiencies | Provide written records when a resident is transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20071218 |
| 20071109 | Health | Resident Rights Deficiencies | Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. | Isolated | Minimal harm or potential for actual harm | 20071218 |
| 20071109 | Health | Resident Rights Deficiencies | Write and use a policy that lets each resident return to the nursing home after a hospital stay or leave for therapy. | Isolated | Minimal harm or potential for actual harm | 20071218 |
| 20071109 | 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 | 20071218 |
| 20071109 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | 20071218 |
| 20071109 | 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 | 20071218 |
| 20071109 | 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. | Isolated | Minimal harm or potential for actual harm | 20071218 |
| 20071109 | Health | Quality Care Deficiencies | Develop/implement required procedures for the administration of immunizations. | Isolated | Minimal harm or potential for actual harm | 20071218 |
| 20071109 | Health | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | Isolated | Minimal harm or potential for actual harm | 20071218 |
| 20071109 | Health | Environmental Deficiencies | Get rid of garbage properly. | Isolated | Minimal harm or potential for actual harm | 20071218 |
| 20071109 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Pattern | Minimal harm or potential for actual harm | 20071218 |
| 20071109 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Potential for minimal harm | 20071218 |
| 20071109 | Health | Resident Assessment Deficiencies | Do an assessment of the resident every year. | Isolated | Minimal harm or potential for actual harm | 20071218 |
| 20071109 | Health | Resident Assessment Deficiencies | Check and update (if needed) each resident's assessment every 3 months. | Isolated | Minimal harm or potential for actual harm | 20071218 |
| 20071109 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Pattern | Minimal harm or potential for actual harm | 20071218 |
| 20071109 | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm | 20071218 |
| 20080716 | Health | Quality Care Deficiencies | Provide activities to meet the needs of each resident. | Pattern | Minimal harm or potential for actual harm | 20080723 |
| 20080716 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20080816 |
| 20080806 | 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. | Pattern | Minimal harm or potential for actual harm | 20080829 |
| 20080806 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Minimal harm or potential for actual harm | 20080829 |
| 20090324 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Minimal harm or potential for actual harm | 20090419 |
| 20090603 | 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 | Actual harm | 20090629 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 66 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 81 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 21 | |
| Percent of long-stay residents who have moderate to severe pain: | 2 | |
| Percent of high-risk long-stay residents who have pressure sores: | 13 | |
| Percent of low-risk long-stay residents who have pressure sores: | 1 | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| Percent of long-stay residents who are more depressed or anxious: | 7 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 71 | |
| 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: | 5 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 20 | |
| Percent of long-stay residents who had a urinary tract infection: | 20 | |
| Percent of long-stay residents who lose too much weight: | 11 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 61 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 55 | |
| Percent of short-stay residents who have delirium: | 3 | |
| Percent of short-stay residents who had moderate to severe pain: | 12 | |
| Percent of short-stay residents who have pressure sores: | 6 | |
| # of Residents: | 120 |
| # RN Hours per Resident: | 0.63 |
| # LPN Hours per Resident: | 0.73 |
| # CNA Hours per Resident: | 1.95 |
| Total Staff Hours per Resident: | 1.36 |
