THE MEADOWS HEALTH AND REHABILITATION CENTER (DALLAS, TX) Detailed Nursing Home Profile

Quality Measures

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

Here:	26.6%
State:	20.4%

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

Here:	8.9%
Texas:	11.4%

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

Here:	12.5%
State:	7.2%

Percent of long-stay residents who lose too much weight

This Nursing Home:	6.3%
Texas:	6.7%

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

Here:	56.3%
Texas:	46.0%

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

Here:	3.3%
Texas:	3.9%

Percent of long-stay residents with a urinary tract infection

Here:	6.3%
Texas:	8.3%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	6.9%
State:	9.3%

Percent of long-stay residents who were physically restrained

Here:	2.1%
Texas:	1.6%

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

This Nursing Home:	3.1%
Texas:	3.5%

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

Here:	97.9%
State:	91.6%

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

Here:	97.9%
State:	91.1%

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

This Nursing Home:	22.9%
Texas:	20.2%

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

Here:	96.6%
State:	76.2%

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

Here:	94.5%
State:	74.3%

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

This Nursing Home:	5.9%
State:	3.6%

Percent of long-stay residents who received an antipsychotic medication

Here:	27.0%
State:	28.5%

Complaint Deficiency

Store, cook, and serve food in a safe and clean way
- 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
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: Some
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved back-up procedure for a faulty fire alarm system
- Harm: Actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Provide bedrooms that hold no more than 4 residents per room
- Harm: Immediate jeopardy to resident health or safety
- Scope: Some
Proper stairway enclosures and vertical shafts
- Harm: Immediate jeopardy to resident health or safety
- Scope: Some
Proper medical gas storage and administration areas
- Harm: Immediate jeopardy to resident health or safety
- Scope: Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Potential for minimal harm
- Scope: Some
Proper stairway enclosures and vertical shafts
- Harm: Potential for minimal harm
- Scope: Many
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Train all employees on what to do in an emergency, and carry out announced staff drills
- 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
Proper stairway enclosures and vertical shafts
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Protected exits that allow the resident to escape the building
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper backup exit lighting
- Harm: Minimal harm or potential for actual harm
- Scope: Many
A fire alarm system that can be heard throughout the facility
- Harm: Potential for minimal harm
- Scope: Some
An approved automatic sprinkler system connected to the fire alarm system
- 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: Many
Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Potential for minimal harm
- Scope: Many
Dispose of garbage and refuse properly
- Harm: Potential for minimal harm
- Scope: Many
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.370
State:	0.469

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

Here:	1.050
Texas:	0.894

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.420
Texas:	1.350

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.050
Texas:	0.067

Number Therapy Hours Per Resident Per Day

Here:	0.050
State:	0.074

THE MEADOWS HEALTH AND REHABILITATION CENTER - DALLAS, TX

Quality Measures

Complaint Deficiency

Staff Information

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