THE CARLYLE AT STONEBRIDGE PARK (SOUTHLAKE, TX) Detailed Nursing Home Profile

Complaint Deficiency

Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Emergency lighting that can last at least 1 1/2 hours
- Harm: Potential for minimal harm
- Scope: Many
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: Some
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper fire barriers, ventilation and signs for the transport of oxygen
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Potential for minimal harm
- Scope: Many
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Potential for minimal harm
- Scope: Many
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Many
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that residents are safe from serious medication errors
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.740
State:	0.469

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

This Nursing Home:	1.320
Texas:	0.894

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	2.070
Texas:	1.350

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.210
Texas:	0.067

Number Therapy Hours Per Resident Per Day

Here:	0.210
Texas:	0.074

Quality Measures

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

Here:	17.6%
State:	20.4%

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

This Nursing Home:	3.2%
State:	11.4%

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

This Nursing Home:	4.9%
Texas:	7.2%

Percent of long-stay residents who lose too much weight

This Nursing Home:	6.3%
State:	6.7%

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

Here:	26.9%
State:	46.0%

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

This Nursing Home:	10.9%
State:	3.9%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	14.3%
Texas:	8.3%

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

Here:	3.6%
Texas:	3.5%

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

This Nursing Home:	98.8%
State:	91.6%

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

This Nursing Home:	98.8%
State:	91.1%

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

This Nursing Home:	16.5%
Texas:	20.2%

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

Here:	95.0%
Texas:	76.2%

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

Here:	97.8%
State:	74.3%

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

This Nursing Home:	0.7%
Texas:	3.6%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	16.0%
Texas:	28.5%

THE CARLYLE AT STONEBRIDGE PARK - SOUTHLAKE, TX

Complaint Deficiency

Staff Information

Quality Measures

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