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Our Successful Track Record |
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2003 Long Term Care Report State Issues Annual Report on Nursing Home Regulation The latest annual performance report by the Texas Department of Human Services’ regarding regulation of nursing facilities and similar provider types is loaded with detail information, including the top 10 complaints and top 10 deficiencies. (See top ten lists below story) This report is a requirement of Senate Bill 190, 75th Legislature, as codified under Section 242.005 of the Health and Safety Code. It includes regional data on enforcement activities for State Fiscal Year 2003, outlining: • number of Health and Safety Code Chapter 242 nursing facility remedies imposed, by type; • number of Health and Safety Code Chapter 242 nursing facility remedies assessed, by type; • facility-specific data on these remedies including the name of the facility and type of violation; • number of complaints filed, by priority status at intake; and • number of incidents filed, by priority status at intake. Similar data is included for intermediate care facilities for persons with mental retardation and/or related conditions (ICFs-MR/RC), licensed and unlicensed assisted living facilities, adult day care facilities, and home and community support services agencies. To read the complete report in Adobe pdf – Click Here
TOP 10 MOST FREQUENT COMPLAINTS FOR FISCAL YEAR 2003 - NURSING FACILITIES . 1. Neglect: failure to provide goods and services necessary to avoid physical harm, mental anguish, or mental illness 2. Activities of daily living: failure to provide sufficient assistance to residents in personal hygiene, dressing, mobility, eating 3. Quality of care: failure to provide services that improve (or at least maintain) a resident’s overall physical and mental condition as indicated by the resident’s comprehensive assessment 4. Resident rights/client protections: failure to ensure that residents have autonomy and choice, as far as possible, about how they wish to live their everyday lives and receive care, subject to the facility's rules, as long as those rules do not violate a regulatory requirement 5. Environment: failure to provide safe and clean living areas with everything in proper working order 6. Sufficient staff: failure to provide enough staff needed to care for residents to enable them to reach their highest practicable physical, mental and psychosocial well being 7. Quality of life: failure to care for residents in a manner and in an environment that promotes maintenance or enhancement of each resident’s quality of life 8. Pressure sores: failure to prevent pressure sores from developing on residents, or to provide sufficient care to heal pressure sores that a resident may already have on admission 9. Medications: failure to provide the right medication to the right resident at the right time in the right form and dosage, or alleging failure to ensure that a resident receives medication according to physical or mental needs without excessive numbers or amounts of medications 10. Abuse, verbal/mental: failure to prevent staff use of oral, written or gestured language, which causes an individual psychological harm or trauma
TOP 10 HEALTH DEFICIENCIES CITED DURING INSPECTIONS FOR FISCAL YEAR 2003 NURSING FACILITIES 1. The facility did not store, cook, and give out food in a safe and clean way. 2. The facility did not provide needed housekeeping and maintenance. 3. The facility did not provide drugs and related services needed by each resident. 4. The facility did not make sure that nurse aides show they have the skills to be able to care for residents. 5. The facility did not make sure that the nursing home area is free of dangers that cause accidents. 6. The facility did not give each resident care and services to get or keep the highest quality of life possible. 7. The facility did not have a program to keep infection from spreading. 8. The facility did not develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. 9. The facility did not 1) hire only people who have 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. 10. The facility did not make sure that the nursing home area is safe, easy to use, clean and comfortable.
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