MEMORIAL CITY HEALTH AND REHABILTIATION CENTER (HOUSTON, TX) Detailed Nursing Home Profile

Complaint Deficiency

A two-hour-resistant firewall in common walls
- 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
Have a program that investigates, controls and keeps infection from spreading
- 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: 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
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Potential for minimal harm
- Scope: Many
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Potential for minimal harm
- Scope: Many
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Potential for minimal harm
- Scope: Many
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Potential for minimal harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Potential for minimal harm
- Scope: Some
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- 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
Operate and provide services according to Federal, State, and local laws and professional standards
- Harm: Potential for minimal harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Doors of sufficient width and proper construction in smoke barriers
- Harm: Potential for minimal harm
- Scope: Many
Properly located and lighted Exit signs
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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: Potential for minimal harm
- Scope: Many
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.940
Texas:	0.469

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

Here:	1.060
State:	0.894

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	2.000
State:	1.350

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.310
State:	0.067

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.310
State:	0.074

Quality Measures

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

Here:	27.3%
State:	20.4%

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

This Nursing Home:	14.1%
Texas:	11.4%

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

Here:	7.7%
State:	7.2%

Percent of long-stay residents who lose too much weight

Here:	3.2%
Texas:	6.7%

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

This Nursing Home:	37.5%
State:	46.0%

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

Here:	1.3%
State:	3.9%

Percent of long-stay residents with a urinary tract infection

Here:	19.4%
Texas:	8.3%

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

Here:	3.1%
Texas:	3.5%

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

Here:	88.9%
Texas:	91.6%

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

Here:	93.8%
Texas:	91.1%

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

Here:	15.9%
State:	20.2%

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

This Nursing Home:	2.8%
State:	1.4%

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

This Nursing Home:	87.9%
Texas:	76.2%

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

Here:	86.5%
Texas:	74.3%

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

Here:	4.9%
State:	3.6%

Percent of long-stay residents who received an antipsychotic medication

Here:	14.8%
State:	28.5%

MEMORIAL CITY HEALTH AND REHABILTIATION CENTER - HOUSTON, TX

Complaint Deficiency

Staff Information

Quality Measures

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