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Faith Memorial Nursing Home

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About Faith Memorial Nursing Home

General Information

Legal Business NameSsc Pasadena Operating Company LLC
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 19, 1994 (23 years)
Capacity112
Residents104
Percent Occupied93%
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 Faith Memorial Nursing Home

Faith Memorial Nursing Home
was reviewed by Medicare to have a rating of 1 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

November 3, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
KSomeImmediate JeopardyComplaintMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
KSomeImmediate JeopardyComplaintProvide care by qualified persons according to each resident's written plan of care.
KSomeImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
FManyPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmComplaintGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.

September 18, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
FManyPotential for HarmHealth InspectionProvide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.
FManyPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
FManyPotential for HarmHealth InspectionProvide written records when a resident is transferred or discharged.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.

September 17, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmFire Safety InspectionProperly protected cooking facilities.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
CManyPotential for Minimal HarmFire Safety InspectionWeekly inspections and monthly testing of generators.

August 25, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

May 23, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$11,245 fine

September 11, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
DFewPotential for HarmHealth InspectionMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmFire Safety InspectionPortable fire extinguishers.
DFewPotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.
DFewPotential for HarmFire Safety InspectionProperly located and lighted "Exit" signs.

July 23, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEmploy 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 HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Faith Memorial Nursing Home 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 45min
2hr 15min
ReportedExpected
CNA
45min
40min
ReportedExpected
LPN
25min
1hr
ReportedExpected
RN
2hr 55min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

96.0%
96.3%
96.3%
90.7%
Q1 2015Q2 2015Q3 2015TX
Assessed and Appropriately Given the Seasonal Influenza Vaccine
96.0%
90.1%
88.6%
87.9%
Q1 2015Q2 2015Q3 2015TX
Assessed and Appropriately Given the Pneumococcal Vaccine
58.8%
51.6%
54.8%
46.9%
Q1 2015Q2 2015Q3 2015TX
Low Risk Residents Who Lose Control of Their Bowel or Bladder
46.9%
41.0%
32.2%
22.3%
Q1 2015Q2 2015Q3 2015TX
Received an Antipsychotic Medication
18.1%
14.7%
8.2%
19.6%
Q1 2015Q2 2015Q3 2015TX
Need for Help with ADLs has Increased
0.0%
3.8%
0.0%
8.8%
Q1 2015Q2 2015Q3 2015TX
Self Report Moderate to Severe Pain
8.1%
18.0%
12.4%
6.3%
Q1 2015Q2 2015Q3 2015TX
Lose Too Much Weight
5.6%
5.6%
6.5%
6.6%
Q1 2015Q2 2015Q3 2015TX
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
6.1%
Q1 2015Q2 2015Q3 2015TX
Have Depressive Symptoms
6.1%
5.0%
2.9%
5.1%
Q1 2015Q2 2015Q3 2015TX
With a Urinary Tract Infection
2.0%
3.0%
2.9%
3.5%
Q1 2015Q2 2015Q3 2015TX
Experiencing One or More Falls with Major Injury
1.7%
0.9%
2.7%
3.3%
Q1 2015Q2 2015Q3 2015TX
With a Catheter Inserted and Left in Their Bladder
4.0%
2.0%
1.9%
0.6%
Q1 2015Q2 2015Q3 2015TX
Were Physically Restrained

Quality Measures for Short Stay Residents

67.3%
71.7%
88.1%
71.4%
Q1 2015Q2 2015Q3 2015TX
Assessed and Appropriately Given the Pneumococcal Vaccine
62.7%
61.5%
61.5%
71.1%
Q1 2015Q2 2015Q3 2015TX
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
2.8%
4.0%
5.0%
16.5%
Q1 2015Q2 2015Q3 2015TX
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%
3.8%
1.9%
1.0%
Q1 2015Q2 2015Q3 2015TX
With Pressure Ulcers That Are New or Worsened