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The Colonnades At Reflection Bay
12001 SHADOW CREEK PARKWAY
Pearland, TX 77584
(713) 434-3800
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 180 |
| Number of Residents: | 87 |
| Percent of Occupied Beds: | 48% |
| 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? | Resident |
| 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 |
| 20090515 | 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 | Minimal harm or potential for actual harm | 20090611 |
| 20090515 | Health | Resident Rights Deficiencies | Try to resolve each resident's complaints quickly. | Isolated | Minimal harm or potential for actual harm | 20090527 |
| 20090515 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Pattern | Actual harm | 20090611 |
| 20090515 | 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 | 20090611 |
| 20090515 | Health | Quality Care Deficiencies | Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Pattern | Minimal harm or potential for actual harm | 20090611 |
| 20090515 | 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 | 20090611 |
| 20090515 | Health | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | Pattern | Actual harm | 20090611 |
| 20090515 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Minimal harm or potential for actual harm | 20090611 |
| 20090515 | 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 | Actual harm | 20090611 |
| 20090515 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Pattern | Minimal harm or potential for actual harm | 20090611 |
| 20090515 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Pattern | Actual harm | 20090611 |
| 20090723 | Health | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | Isolated | Minimal harm or potential for actual harm | 20090730 |
| 20090723 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Pattern | Minimal harm or potential for actual harm | 20090730 |
| 20090723 | Health | Resident Rights Deficiencies | Try to resolve each resident's complaints quickly. | Isolated | Minimal harm or potential for actual harm | 20090730 |
| 20090723 | 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 | 20090730 |
| 20090723 | 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 | 20090730 |
| 20090723 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Pattern | Minimal harm or potential for actual harm | 20090730 |
| 20091123 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Minimal harm or potential for actual harm | 20091210 |
| 20100419 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20100519 |
| 20100419 | Health | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | Isolated | Minimal harm or potential for actual harm | 20100519 |
| 20100621 | 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 | 20100723 |
| 20100621 | 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 | 20100723 |
| 20100707 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20100730 |
| 20100707 | Health | Administration Deficiencies | Make sure that nurse aides show they have the skills to be able to care for residents. | Isolated | Actual harm | 20100730 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 92 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 78 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 10 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 18 | |
| Percent of low-risk long-stay residents who have pressure sores: | 3 | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| Percent of long-stay residents who are more depressed or anxious: | 4 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 49 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 4 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 0 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 11 | |
| Percent of long-stay residents who had a urinary tract infection: | 8 | |
| Percent of long-stay residents who lose too much weight: | 2 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 58 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 56 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 7 | |
| Percent of short-stay residents who have pressure sores: | 18 | |
| # of Residents: | 87 |
| # RN Hours per Resident: | 0.76 |
| # LPN Hours per Resident: | 1.03 |
| # CNA Hours per Resident: | 2.51 |
| Total Staff Hours per Resident: | 1.79 |
