Balch Springs Nursing Home

4200 SHEPHERD LN
Balch Springs, TX 75180
(972) 286-0335
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 120
Number of Residents: 91
Percent of Occupied Beds: 76%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? No
Resident and Family Councils? Both
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? No
Overall: 1 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 1 Star Nurse Staffing Rating
Quality Measures: 2 Star Quality Measures Rating
RN Only: 1 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20070921 Health Nutrition and Dietary Deficiencies Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern Potential for minimal harm 20071011
20070921 Health Administration Deficiencies Give or get lab tests to meet the needs of residents. Pattern Minimal harm or potential for actual harm 20071011
20090612 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
20090612 Health Environmental Deficiencies Make sure that the nursing home area is safe, easy to use, clean and comfortable. Widespread Potential for minimal harm
20090612 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
20090612 Health Administration Deficiencies Keep accurate and appropriate medical records. Pattern Minimal harm or potential for actual harm
20100113 Health Pharmacy Service Deficiencies 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. Pattern Immediate jeopardy to resident health or safety 20100108
20100113 Health Administration Deficiencies Give or get lab tests to meet the needs of residents. Pattern Immediate jeopardy to resident health or safety 20100108
20100301 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 20100319
20100301 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20100319
20100301 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Pattern Immediate jeopardy to resident health or safety 20100302
20100301 Health Pharmacy Service Deficiencies 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. Isolated Minimal harm or potential for actual harm 20100319
20100311 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 20100318
20100311 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 20100318
20100707 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20100803
20100901 Health Resident Rights Deficiencies Provide written records when a resident is transferred or discharged. Pattern Potential for minimal harm 20100914
20100901 Health Resident Rights Deficiencies Provide enough notice before discharging or transferring a resident. Pattern Potential for minimal harm 20100914
20100901 Health Resident Rights Deficiencies Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. Pattern Potential for minimal harm 20100914
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 98
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 98
Percent of long-stay residents whose need for help with daily activities has increased: 20
Percent of long-stay residents who have moderate to severe pain: 3
Percent of high-risk long-stay residents who have pressure sores: 20
Percent of low-risk long-stay residents who have pressure sores: 0
Percent of long-stay residents who were physically restrained: 0
Percent of long-stay residents who are more depressed or anxious: 20
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 73
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: 18
Percent of long-stay residents who had a urinary tract infection: 6
Percent of long-stay residents who lose too much weight: 6
Percent of short-stay residents given influenza vaccination during the flu season: 99
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 98
Percent of short-stay residents who have delirium: 9
Percent of short-stay residents who had moderate to severe pain: 19
Percent of short-stay residents who have pressure sores: 11
# of Residents: 91
# RN Hours per Resident: 0.36
# LPN Hours per Resident: 0.79
# CNA Hours per Resident: 2
Total Staff Hours per Resident: 1.15