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Ralls Nursing Home

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About Ralls Nursing Home

General Information

Legal Business NameChildress County Hospital District
Ownership TypeGovernment - Hospital District
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 16, 1994 (22 years)
Capacity39
Residents30
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 Ralls Nursing Home

Ralls 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

August 28, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintEmploy staff that are licensed, certified, or registered in accordance with state laws.
FManyPotential for HarmComplaintProvide timely notification to the resident before transfer or discharge.
FManyPotential for HarmComplaintPermit residents to remain in the facility and not be transferred or discharged without adequate reason.

April 20, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintUse a registered nurse at least 8 hours a day, 7 days a week.
ESomePotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

February 13, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionProvide food in a way that meets a resident's needs.
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 InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
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 InspectionProvide bedrooms that don't allow residents to see each other when privacy is needed.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
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 InspectionReasonably accommodate the needs and preferences of each resident.
ESomePotential for HarmHealth InspectionProvide residents with private access to a telephone.
ESomePotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
ESomePotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
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 InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionProvide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.
DFewPotential for HarmHealth InspectionDevelop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home.

February 10, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionA separate and independent backup electrical power source.
CManyPotential for Minimal HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.

October 16, 2014 - 2 years ago

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

September 30, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
CManyPotential for Minimal HarmComplaintUse a registered nurse at least 8 hours a day, 7 days a week.

January 21, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
CManyPotential for Minimal HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

January 17, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential 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 InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide food in a way that meets a resident's needs.
DFewPotential 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.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Ralls 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 55min
2hr 30min
ReportedExpected
CNA
60min
40min
ReportedExpected
LPN
25min
55min
ReportedExpected
RN
3hr 15min
4hr 5min
ReportedExpected
Total Nursing

Quality Measures for Long Stay Residents

-
93.3%
93.3%
90.7%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
87.9%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
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
-
-
-
22.3%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Received an Antipsychotic Medication
-
-
-
19.6%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
-
8.8%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
6.3%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
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
-
-
-
6.1%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Have Depressive Symptoms
-
-
-
5.1%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
With a Urinary Tract Infection
-
-
-
3.5%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Experiencing One or More Falls with Major Injury
-
-
-
3.3%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
With a Catheter Inserted and Left in Their Bladder
-
-
-
0.6%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Were Physically Restrained

Quality Measures for Short Stay Residents

-
-
-
71.4%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
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
-
-
-
1.0%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened