CIBOLO CREEK (BOERNE, TX) Detailed Nursing Home Profile

Complaint Deficiency

Properly protected cooking facilities
- Harm: Potential for minimal harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Potential for minimal harm
- Scope: Many
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Potential for minimal harm
- Scope: Some
Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep all essential equipment working safely
- Harm: Potential for minimal harm
- Scope: Some
Give or get quality lab services/tests in a timely manner to meet the needs of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Potential for minimal harm
- Scope: Some
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	26.3%
State:	20.4%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	35.6%
State:	11.4%

Percent of long-stay high-risk residents with pressure ulcers

Here:	3.2%
Texas:	7.2%

Percent of long-stay residents who lose too much weight

Here:	4.4%
Texas:	6.7%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	38.5%
State:	46.0%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Nursing Home:	2.4%
State:	3.9%

Percent of long-stay residents with a urinary tract infection

Here:	14.4%
State:	8.3%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	5.2%
State:	3.5%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	94.8%
State:	91.6%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	92.8%
State:	91.1%

Percent of short-stay residents who self-report moderate to severe pain

Here:	19.6%
Texas:	20.2%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	31.1%
Texas:	76.2%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	27.0%
Texas:	74.3%

Percent of short-stay residents who newly received an antipsychotic medication

This Nursing Home:	2.0%
Texas:	3.6%

Percent of long-stay residents who received an antipsychotic medication

Here:	30.5%
State:	28.5%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.490
State:	0.469

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.780
State:	0.894

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.270
Texas:	1.350

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.050
State:	0.067

Number Therapy Hours Per Resident Per Day

Here:	0.050
State:	0.074

CIBOLO CREEK - BOERNE, TX

Complaint Deficiency

Quality Measures

Staff Information

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