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The Belmont At Twin Creeks

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About The Belmont At Twin Creeks

General Information

Legal Business NameDecatur Hospital Authority
Ownership TypeGovernment - Hospital District
Changed Ownership In The Last 12 MonthsYes
First Accepted MedicareSeptember 10, 2009 (7 years)
Capacity112
Residents86
Percent Occupied77%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for The Belmont At Twin Creeks

The Belmont At Twin Creeks
was reviewed by Medicare to have a rating of 5 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Texas Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Note that this facility has changed ownership within the past 12 months.

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

October 1, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

September 30, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
FManyPotential for HarmFire Safety InspectionSigns that state that exit doors are to be kept closed.

September 23, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly protected cooking facilities.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of The Belmont At Twin Creeks require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 55min
2hr 25min
ReportedExpected
CNA
1hr 10min
55min
ReportedExpected
LPN
1hr 50min
1hr 55min
ReportedExpected
RN
5hr 55min
5hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 3hr 45min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
90.7%
Q1 2015Q2 2015Q3 2015TX
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
98.6%
98.4%
87.9%
Q1 2015Q2 2015Q3 2015TX
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
46.9%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
18.5%
18.8%
14.5%
22.3%
Q1 2015Q2 2015Q3 2015TX
Received an Antipsychotic Medication
5.0%
21.7%
25.5%
19.6%
Q1 2015Q2 2015Q3 2015TX
Need for Help with ADLs has Increased
0.0%
0.0%
0.0%
8.8%
Q1 2015Q2 2015Q3 2015TX
Self Report Moderate to Severe Pain
0.0%
0.0%
3.7%
6.3%
Q1 2015Q2 2015Q3 2015TX
Lose Too Much Weight
7.9%
2.4%
8.1%
6.6%
Q1 2015Q2 2015Q3 2015TX
High Risk Residents With Pressure Ulcers
0.0%
1.5%
3.3%
6.1%
Q1 2015Q2 2015Q3 2015TX
Have Depressive Symptoms
7.8%
6.5%
1.9%
5.1%
Q1 2015Q2 2015Q3 2015TX
With a Urinary Tract Infection
5.6%
2.9%
3.2%
3.5%
Q1 2015Q2 2015Q3 2015TX
Experiencing One or More Falls with Major Injury
1.6%
5.8%
2.5%
3.3%
Q1 2015Q2 2015Q3 2015TX
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.6%
Q1 2015Q2 2015Q3 2015TX
Were Physically Restrained

Quality Measures for Short Stay Residents

96.4%
98.9%
99.4%
71.4%
Q1 2015Q2 2015Q3 2015TX
Assessed and Appropriately Given the Pneumococcal Vaccine
96.7%
79.9%
79.5%
71.1%
Q1 2015Q2 2015Q3 2015TX
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
6.4%
2.1%
0.9%
16.5%
Q1 2015Q2 2015Q3 2015TX
Self Report Moderate to Severe Pain
1.4%
1.1%
1.3%
3.2%
Q1 2015Q2 2015Q3 2015TX
Newly Received an Antipsychotic Medication
0.0%
0.7%
0.7%
1.0%
Q1 2015Q2 2015Q3 2015TX
With Pressure Ulcers That Are New or Worsened