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Conroe Health Care Center

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About Conroe Health Care Center

General Information

Legal Business NameHsmtx/Conroe, LLC
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 14, 1996 (20 years)
Capacity108
Residents79
Percent Occupied73%
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 Conroe Health Care Center

Conroe Health Care Center
was reviewed by Medicare to have a rating of 3 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

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

March 4, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProperly installed hallway dispensers for alcohol-based hand rub.
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
CManyPotential for Minimal HarmFire Safety InspectionPortable fire extinguishers.
CManyPotential for Minimal HarmFire Safety InspectionWeekly inspections and monthly testing of generators.

February 27, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
FManyPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
FManyPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionGive or get x-rays and other tests in a timely manner to meet the needs of residents.

February 25, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
ESomePotential for HarmFire Safety InspectionProperly located and lighted "Exit" signs.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Conroe Health Care Center 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 5min
2hr 20min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
30min
1hr 15min
ReportedExpected
RN
3hr 30min
4hr 20min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.4%
86.8%
88.0%
90.7%
Q1 2015Q2 2015Q3 2015TX
Assessed and Appropriately Given the Seasonal Influenza Vaccine
95.8%
98.5%
98.6%
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
18.8%
12.7%
10.9%
22.3%
Q1 2015Q2 2015Q3 2015TX
Received an Antipsychotic Medication
14.0%
24.5%
18.9%
19.6%
Q1 2015Q2 2015Q3 2015TX
Need for Help with ADLs has Increased
2.8%
10.8%
6.0%
8.8%
Q1 2015Q2 2015Q3 2015TX
Self Report Moderate to Severe Pain
2.9%
6.2%
0.0%
6.3%
Q1 2015Q2 2015Q3 2015TX
Lose Too Much Weight
10.4%
8.3%
0.0%
6.6%
Q1 2015Q2 2015Q3 2015TX
High Risk Residents With Pressure Ulcers
0.0%
6.8%
6.5%
6.1%
Q1 2015Q2 2015Q3 2015TX
Have Depressive Symptoms
7.2%
3.1%
5.7%
5.1%
Q1 2015Q2 2015Q3 2015TX
With a Urinary Tract Infection
4.2%
4.4%
2.9%
3.5%
Q1 2015Q2 2015Q3 2015TX
Experiencing One or More Falls with Major Injury
2.3%
2.2%
1.7%
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

94.7%
94.7%
77.7%
71.4%
Q1 2015Q2 2015Q3 2015TX
Assessed and Appropriately Given the Pneumococcal Vaccine
84.8%
41.1%
40.6%
71.1%
Q1 2015Q2 2015Q3 2015TX
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
9.1%
6.6%
5.6%
16.5%
Q1 2015Q2 2015Q3 2015TX
Self Report Moderate to Severe Pain
1.5%
1.5%
7.2%
3.2%
Q1 2015Q2 2015Q3 2015TX
Newly Received an Antipsychotic Medication
4.1%
3.8%
2.9%
1.0%
Q1 2015Q2 2015Q3 2015TX
With Pressure Ulcers That Are New or Worsened