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Lake Jackson Healthcare Center

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About Lake Jackson Healthcare Center

General Information

Legal Business NameSweeny Hospital District
Ownership TypeGovernment - Hospital District
Changed Ownership In The Last 12 MonthsYes
First Accepted MedicareMay 6, 1983 (34 years)
Capacity120
Residents64
Percent Occupied53%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Lake Jackson Healthcare Center

Lake Jackson Healthcare Center
was reviewed by Medicare to have a rating of 2 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

March 12, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmHealth InspectionEmploy or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmHealth InspectionProvide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.
ESomePotential for HarmHealth InspectionProvide written records when a resident is transferred or discharged.
ESomePotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionAssure that each residentís assessment is updated at least once every 3 months.
DFewPotential for HarmHealth InspectionAllow residents to easily view the results of the nursing home's most recent inspection.

March 10, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
ESomePotential for HarmFire Safety InspectionProperly protected cooking facilities.
ESomePotential for HarmFire Safety InspectionProperly located and lighted "Exit" signs.
ESomePotential for HarmFire Safety InspectionPortable fire extinguishers.
CManyPotential for Minimal HarmFire Safety InspectionWeekly inspections and monthly testing of generators.

October 8, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintGive the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances.
DFewPotential for HarmComplaintHire a qualified full-time social worker in a facility with more than 120 beds.

April 10, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
ESomePotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
CManyPotential for Minimal HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmFire Safety InspectionPortable fire extinguishers.
DFewPotential for HarmHealth InspectionMake sure that special or therapeutic diets are ordered by the attending doctor.

March 26, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 67 days
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

December 19, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
ESomePotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

November 27, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,983 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Lake Jackson Healthcare 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.

1hr 55min
1hr 55min
ReportedExpected
CNA
50min
35min
ReportedExpected
LPN
35min
1hr 10min
ReportedExpected
RN
3hr 20min
3hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.2%
96.9%
96.9%
90.7%
Q1 2015Q2 2015Q3 2015TX
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
80.4%
75.8%
87.9%
Q1 2015Q2 2015Q3 2015TX
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
23.3%
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
44.2%
42.1%
30.6%
22.3%
Q1 2015Q2 2015Q3 2015TX
Received an Antipsychotic Medication
42.9%
11.8%
15.7%
19.6%
Q1 2015Q2 2015Q3 2015TX
Need for Help with ADLs has Increased
0.0%
5.6%
16.5%
8.8%
Q1 2015Q2 2015Q3 2015TX
Self Report Moderate to Severe Pain
3.5%
0.0%
3.2%
6.3%
Q1 2015Q2 2015Q3 2015TX
Lose Too Much Weight
-
-
-
6.6%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
0.0%
0.0%
7.6%
6.1%
Q1 2015Q2 2015Q3 2015TX
Have Depressive Symptoms
3.5%
3.8%
3.2%
5.1%
Q1 2015Q2 2015Q3 2015TX
With a Urinary Tract Infection
3.4%
0.0%
3.0%
3.5%
Q1 2015Q2 2015Q3 2015TX
Experiencing One or More Falls with Major Injury
3.2%
0.0%
0.0%
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

57.7%
25.0%
13.0%
71.4%
Q1 2015Q2 2015Q3 2015TX
Assessed and Appropriately Given the Pneumococcal Vaccine
-
53.8%
53.8%
71.1%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
16.5%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
3.2%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.0%
Q1 2015Q2 2015Q3 2015TX
With Pressure Ulcers That Are New or Worsened