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Cleburne Rehabilitation And Health Care Center
1108 W KILPATRICK ST
Cleburne, TX 76033
(817) 645-3931
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 120 |
| Number of Residents: | 43 |
| Percent of Occupied Beds: | 36% |
| 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 |
| 20071210 | 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 | 20080108 |
| 20081110 | 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 | 20081110 |
| 20081110 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Pattern | Immediate jeopardy to resident health or safety | 20081110 |
| 20081110 | Health | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | Pattern | Immediate jeopardy to resident health or safety | 20081110 |
| 20081110 | Health | Administration Deficiencies | Quickly tell the resident's doctor the results of lab tests. | Pattern | Immediate jeopardy to resident health or safety | 20081110 |
| 20081204 | 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 | 20090101 |
| 20081204 | 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 | 20090131 |
| 20081204 | 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 | 20090101 |
| 20081204 | 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 | 20090101 |
| 20081204 | 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 | 20090101 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 89 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 89 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 14 | |
| Percent of long-stay residents who have moderate to severe pain: | 12 | |
| Percent of high-risk long-stay residents who have pressure sores: | 6 | |
| Percent of low-risk long-stay residents who have pressure sores: | 0 | |
| Percent of long-stay residents who were physically restrained: | 2 | |
| Percent of long-stay residents who are more depressed or anxious: | 21 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 39 | |
| 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: | 12 | |
| Percent of long-stay residents who had a urinary tract infection: | 12 | |
| Percent of long-stay residents who lose too much weight: | 6 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 79 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 70 | |
| Percent of short-stay residents who have delirium: | 16 | |
| Percent of short-stay residents who had moderate to severe pain: | 35 | |
| Percent of short-stay residents who have pressure sores: | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. | |
| # of Residents: | 43 |
| # RN Hours per Resident: | 0.56 |
| # LPN Hours per Resident: | 1.31 |
| # CNA Hours per Resident: | 3.04 |
| Total Staff Hours per Resident: | 1.87 |
