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Midwestern Healthcare Center

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About Midwestern Healthcare Center

General Information

Legal Business NameNexion Health At Wichita Falls, Inc.
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 8, 1993 (24 years)
Capacity121
Residents87
Percent Occupied72%
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 Midwestern Healthcare Center

Midwestern 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

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

April 22, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintHelp and prepare each resident for a safe and easy discharge or transfer from the nursing home.

February 13, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
FManyPotential for HarmHealth InspectionHave a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents.
FManyPotential for HarmHealth InspectionHave enough backup water supply for essential areas of the nursing home.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

February 11, 2015 - 2 years 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 InspectionEmergency lighting that can last at least 1 1/2 hours.
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

March 14, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

January 30, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaint+InspectionHave a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents.
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 InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
CManyPotential for Minimal HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CManyPotential for Minimal HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
CManyPotential for Minimal HarmHealth InspectionHave enough backup water supply for essential areas of the nursing home.

January 29, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
CManyPotential for Minimal HarmFire Safety InspectionProperly protected cooking facilities.
CManyPotential for Minimal HarmFire Safety InspectionPortable fire extinguishers.
CManyPotential for Minimal HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Midwestern 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 35min
2hr 25min
ReportedExpected
CNA
1hr
40min
ReportedExpected
LPN
15min
1hr 10min
ReportedExpected
RN
2hr 50min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

96.2%
96.5%
96.5%
90.7%
Q1 2015Q2 2015Q3 2015TX
Assessed and Appropriately Given the Seasonal Influenza Vaccine
93.8%
94.8%
93.2%
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
32.1%
27.0%
16.2%
22.3%
Q1 2015Q2 2015Q3 2015TX
Received an Antipsychotic Medication
17.9%
14.5%
23.2%
19.6%
Q1 2015Q2 2015Q3 2015TX
Need for Help with ADLs has Increased
5.2%
13.7%
16.2%
8.8%
Q1 2015Q2 2015Q3 2015TX
Self Report Moderate to Severe Pain
6.6%
6.6%
11.1%
6.3%
Q1 2015Q2 2015Q3 2015TX
Lose Too Much Weight
12.5%
3.7%
8.8%
6.6%
Q1 2015Q2 2015Q3 2015TX
High Risk Residents With Pressure Ulcers
5.4%
4.1%
0.0%
6.1%
Q1 2015Q2 2015Q3 2015TX
Have Depressive Symptoms
0.0%
0.0%
2.8%
5.1%
Q1 2015Q2 2015Q3 2015TX
With a Urinary Tract Infection
2.5%
1.3%
1.4%
3.5%
Q1 2015Q2 2015Q3 2015TX
Experiencing One or More Falls with Major Injury
4.0%
4.3%
6.8%
3.3%
Q1 2015Q2 2015Q3 2015TX
With a Catheter Inserted and Left in Their Bladder
1.2%
1.3%
1.4%
0.6%
Q1 2015Q2 2015Q3 2015TX
Were Physically Restrained

Quality Measures for Short Stay Residents

50.0%
52.0%
20.8%
71.4%
Q1 2015Q2 2015Q3 2015TX
Assessed and Appropriately Given the Pneumococcal Vaccine
45.7%
45.1%
45.1%
71.1%
Q1 2015Q2 2015Q3 2015TX
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
36.4%
-
30.3%
16.5%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
0.0%
0.0%
0.0%
3.2%
Q1 2015Q2 2015Q3 2015TX
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