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Williamsburg Village Healthcare Campus
941 SCOTLAND DR
Desoto, TX 75115
(972) 572-6200
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 242 |
| Number of Residents: | 200 |
| Percent of Occupied Beds: | 83% |
| 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 | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Minimal harm or potential for actual harm | 20071031 |
| 20070921 | 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 | 20071031 |
| 20070921 | Health | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable. | Pattern | Potential for minimal harm | 20071031 |
| 20070921 | 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 | 20071031 |
| 20080214 | 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 | |
| 20080214 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Pattern | Minimal harm or potential for actual harm | |
| 20080512 | 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 | 20080711 |
| 20080512 | Health | Quality Care Deficiencies | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Pattern | Minimal harm or potential for actual harm | 20080711 |
| 20080512 | Health | Environmental Deficiencies | Keep temperature levels comfortable and safe. | Pattern | Minimal harm or potential for actual harm | 20080711 |
| 20080512 | 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 | 20080711 |
| 20080512 | 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 | 20080711 |
| 20080512 | Health | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | Pattern | Minimal harm or potential for actual harm | 20080711 |
| 20080512 | Health | Administration Deficiencies | Quickly tell the resident's doctor the results of lab tests. | Pattern | Minimal harm or potential for actual harm | 20080711 |
| 20080512 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Potential for minimal harm | 20080711 |
| 20081010 | 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 | 20081031 |
| 20090108 | 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 | 20090215 |
| 20090108 | 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 | 20090215 |
| 20090402 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20090427 |
| 20090605 | 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 | Minimal harm or potential for actual harm | 20090612 |
| 20090605 | 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 | 20090629 |
| 20090605 | Health | Administration Deficiencies | Have licensed, certified, or registered staff to give needed services. | Pattern | Minimal harm or potential for actual harm | 20090606 |
| 20090605 | 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 | 20090629 |
| 20100306 | 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 | 20100430 |
| 20100306 | 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 | 20100430 |
| 20100310 | 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 | 20100430 |
| 20100310 | 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 | 20100430 |
| 20100310 | Health | Resident Rights Deficiencies | Try to resolve each resident's complaints quickly. | Pattern | Minimal harm or potential for actual harm | 20100430 |
| 20100310 | 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 | 20100430 |
| 20100310 | 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 | 20100430 |
| 20100310 | 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 | 20100430 |
| 20100310 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Widespread | Minimal harm or potential for actual harm | 20100430 |
| 20100310 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Pattern | Minimal harm or potential for actual harm | 20100430 |
| 20100310 | Health | Administration Deficiencies | 1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. | Pattern | Minimal harm or potential for actual harm | 20100430 |
| 20100310 | 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 | 20100430 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 91 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 97 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 22 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 14 | |
| 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: | 5 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 32 | |
| 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: | 1 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 15 | |
| Percent of long-stay residents who had a urinary tract infection: | 5 | |
| Percent of long-stay residents who lose too much weight: | 5 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 84 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 97 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 10 | |
| Percent of short-stay residents who have pressure sores: | 11 | |
| # of Residents: | 200 |
| # RN Hours per Resident: | 0.29 |
| # LPN Hours per Resident: | 1.13 |
| # CNA Hours per Resident: | 2.16 |
| Total Staff Hours per Resident: | 1.42 |
