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Briarcliff Nursing And Rehabilitation Center Lp
3201 N WARE RD
Mcallen, TX 78501
(956) 631-5542
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 165 |
| Number of Residents: | 165 |
| Percent of Occupied Beds: | 100% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Partnership |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | No |
| 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 |
| 20080129 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Actual harm | 20080226 |
| 20080129 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20080226 |
| 20080225 | 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 | 20080313 |
| 20080225 | Health | Pharmacy Service Deficiencies | At least once a month, have a licensed pharmacist check the drugs that each resident takes. | Pattern | Minimal harm or potential for actual harm | 20080313 |
| 20080905 | 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 | 20080926 |
| 20080905 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20080926 |
| 20080905 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Potential for minimal harm | |
| 20080905 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | |
| 20080905 | 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 | 20080926 |
| 20080905 | 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. | Pattern | Minimal harm or potential for actual harm | 20080926 |
| 20081118 | 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 | 20081124 |
| 20081118 | 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 | 20081124 |
| 20090303 | 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 | 20090328 |
| 20090303 | 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 | 20090328 |
| 20090401 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm | 20090422 |
| 20090401 | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | Pattern | Minimal harm or potential for actual harm | 20090422 |
| 20090401 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20090422 |
| 20090401 | Health | Environmental Deficiencies | Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Isolated | Minimal harm or potential for actual harm | 20090417 |
| 20090401 | 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 | 20090422 |
| 20090930 | 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 | |
| 20100331 | 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 | 20100401 |
| 20100331 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Pattern | Minimal harm or potential for actual harm | 20100401 |
| 20100524 | Health | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | Pattern | Minimal harm or potential for actual harm | 20100708 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 65 | |
| 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: | 26 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 13 | |
| 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: | 7 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 55 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 5 | |
| 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: | 22 | |
| Percent of long-stay residents who had a urinary tract infection: | 16 | |
| Percent of long-stay residents who lose too much weight: | 3 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 26 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 25 | |
| Percent of short-stay residents who have delirium: | 2 | |
| Percent of short-stay residents who had moderate to severe pain: | 6 | |
| Percent of short-stay residents who have pressure sores: | 7 | |
| # of Residents: | 165 |
| # RN Hours per Resident: | 0.41 |
| # LPN Hours per Resident: | 0.76 |
| # CNA Hours per Resident: | 2.11 |
| Total Staff Hours per Resident: | 1.17 |
