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Garden Terrace Alzheimers Center Of Excellence

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About Garden Terrace Alzheimers Center Of Excellence

General Information

Legal Business NameCambridge Medical Investors LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 24, 1997 (22 years)
Capacity120
Residents90
Percent Occupied75%
Program ParticipationMedicare
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Garden Terrace Alzheimers Center Of Excellence

Garden Terrace Alzheimers Center Of Excellence was reviewed by Medicare to have a rating of 5 out of 5 stars.

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

May 11, 2017 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

February 8, 2017 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaintMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmComplaintKeep residents' personal and medical records private and confidential.

June 23, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

May 11, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

March 1, 2016 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

October 1, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintStore, cook, and serve food in a safe and clean way.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Garden Terrace Alzheimers Center Of Excellence 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 35min
2hr 35min
ReportedExpected
CNA
1hr 5min
45min
ReportedExpected
LPN
1hr 15min
1hr 25min
ReportedExpected
RN
4hr 50min
4hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 2hr 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

95.0%
90.9%
90.9%
90.9%
93.1%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.3%
92.6%
93.1%
96.3%
92.0%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
49.5%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
25.0%
24.0%
23.1%
26.1%
25.9%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents who received an antianxiety or hypnotic medication
-
-
-
-
20.7%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose ability to move independently worsened
17.9%
25.9%
39.3%
29.6%
16.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents who received an antipsychotic medication
14.3%
13.0%
3.8%
8.7%
18.7%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents whose need for help with daily activities has increased
7.1%
0.0%
0.0%
0.0%
5.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents who lose too much weight
0.0%
4.2%
7.7%
15.4%
6.2%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of high risk long-stay residents with pressure ulcers
0.0%
-
0.0%
-
4.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who self-report moderate to severe pain
0.0%
0.0%
0.0%
0.0%
3.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents who have depressive symptoms
3.6%
7.7%
28.6%
7.4%
3.4%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents with a urinary tract infection
0.0%
3.7%
3.4%
3.7%
3.5%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents experiencing one or more falls with major injury
2.0%
7.6%
1.9%
1.8%
1.9%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.2%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

82.8%
88.5%
83.2%
76.8%
78.7%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.8%
87.3%
87.3%
87.3%
75.4%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
68.9%
71.1%
66.3%
62.2%
60.0%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents who made improvements in function
7.8%
13.0%
11.8%
8.5%
11.5%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents who self-report moderate to severe pain
2.6%
2.6%
2.2%
3.0%
2.7%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents who newly received an antipsychotic medication
0.2%
0.3%
0.5%
1.0%
0.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents with pressure ulcers that are new or worsened