EMERALD HILLS REHABILITATION AND HEATLHCARE CENTER (NORTH RICHLAND HILLS, TX) Detailed Nursing Home Profile

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.760
State:	0.469

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

Here:	1.180
Texas:	0.894

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.940
State:	1.350

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.050
Texas:	0.067

Number Therapy Hours Per Resident Per Day

Here:	0.050
Texas:	0.074

Quality Measures

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

This Nursing Home:	10.0%
Texas:	20.4%

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

This Nursing Home:	13.1%
Texas:	11.4%

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

This Nursing Home:	16.0%
Texas:	7.2%

Percent of long-stay residents who lose too much weight

Here:	7.9%
Texas:	6.7%

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

Here:	41.5%
Texas:	46.0%

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

Here:	6.4%
Texas:	3.9%

Percent of long-stay residents with a urinary tract infection

Here:	15.8%
Texas:	8.3%

Percent of long-stay residents who have depressive symptoms

Here:	2.8%
State:	9.3%

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

Here:	100.0%
Texas:	91.6%

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

Here:	93.4%
Texas:	91.1%

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

This Nursing Home:	10.1%
State:	20.2%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Nursing Home:	1.4%
Texas:	1.4%

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

This Nursing Home:	97.1%
State:	76.2%

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

Here:	95.7%
Texas:	74.3%

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

Here:	2.5%
State:	3.6%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	15.8%
Texas:	28.5%

Complaint Deficiency

Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Potential for minimal harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved back-up procedure for a faulty fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly working alarms on sprinkler valves
- Harm: Potential for minimal harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly protected cooking facilities
- Harm: Potential for minimal harm
- Scope: Many
Notify the resident or provide reasons for a transfer or discharge
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Hire only people with 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
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Immediate jeopardy to resident health or safety
- 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
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Use a registered nurse at least 8 hours a day, 7 days a week
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- 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: Many
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
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: 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
Properly working alarms on sprinkler valves
- Harm: Potential for minimal harm
- Scope: Many
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Some
1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compensation
- Harm: Minimal harm or potential for actual 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: Some
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Potential for minimal harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Potential for minimal harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some

EMERALD HILLS REHABILITATION AND HEATLHCARE CENTER - NORTH RICHLAND HILLS, TX

Staff Information

Quality Measures

Complaint Deficiency

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