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West Houston Rehabilitation And Healthcare Center

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About West Houston Rehabilitation And Healthcare Center

General Information

Legal Business NameLtc Of West Houston LLC
Ownership TypeFor Profit - Individual
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareApril 9, 2015 (2 years)
Capacity124
Residents107
Percent Occupied86%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityYes
Auto Sprinkler System In Required AreasYes

Ratings for West Houston Rehabilitation And Healthcare Center

West Houston Rehabilitation And Healthcare Center
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 2 Years

Note that this facility has only accepted Medicare for 2 years.
The state and national averages include problems for 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

September 17, 2016 - 9 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 necessary care and services to maintain or improve the highest well being of each resident .
KSomeImmediate JeopardyComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.

August 23, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 16 days
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

May 6, 2016 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
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 HarmComplaint+InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmComplaint+InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
ESomePotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

January 14, 2016 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEnsure each resident receives an accurate assessment by a qualified health professional.

December 31, 2015 - 1 year 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 necessary care and services to maintain or improve the highest well being of each resident .
KSomeImmediate JeopardyComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.
KSomeImmediate JeopardyComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

November 19, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 31 days
KSomeImmediate JeopardyComplaintMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
KSomeImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
KSomeImmediate JeopardyComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
KSomeImmediate JeopardyComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.
ESomePotential for HarmComplaintEnsure 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.

August 15, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
LManyImmediate JeopardyComplaintMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
LManyImmediate JeopardyComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.
LManyImmediate JeopardyComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
LManyImmediate JeopardyComplaint1) 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.
KSomeImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

July 30, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$27,593 fine
FManyPotential for HarmComplaintEnsure that residents are safe from serious medication errors.
FManyPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
FManyPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmComplaintMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
ESomePotential for HarmComplaintProvide or obtain laboratory services only when ordered by the attending physician.
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 HarmComplaintMake sure that special or therapeutic diets are ordered by the attending doctor.
ESomePotential for HarmComplaintEnsure 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.
ESomePotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
ESomePotential for HarmComplaintEnsure 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.

April 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
BSomePotential for Minimal HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of West Houston Rehabilitation And 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.

2hr 5min
2hr 30min
ReportedExpected
CNA
50min
45min
ReportedExpected
LPN
35min
1hr 25min
ReportedExpected
RN
3hr 30min
4hr 40min
ReportedExpected
Total Nursing

This facility also provides approximately 45min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

-
46.8%
46.2%
46.2%
91.6%
Q4 2015Q1 2016Q2 2016Q3 2016TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
2.8%
71.4%
88.6%
85.1%
89.8%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
42.9%
56.0%
69.6%
60.0%
48.3%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of low risk long-stay residents who lose control of their bowels or bladder
31.5%
16.0%
13.3%
12.8%
27.1%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents who received an antianxiety or hypnotic medication
47.5%
30.2%
43.2%
32.0%
20.7%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents whose ability to move independently worsened
19.7%
26.5%
9.4%
11.9%
19.1%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents who received an antipsychotic medication
35.6%
23.7%
39.7%
23.4%
19.1%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents whose need for help with daily activities has increased
5.1%
1.7%
1.6%
3.5%
7.0%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents who self-report moderate to severe pain
1.4%
7.3%
13.8%
14.5%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents who lose too much weight
7.8%
5.8%
11.4%
8.3%
6.3%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
4.9%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents who have depressive symptoms
0.0%
6.1%
1.1%
9.6%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents with a urinary tract infection
1.4%
0.0%
1.1%
4.6%
3.6%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents experiencing one or more falls with major injury
2.7%
1.7%
3.3%
5.6%
2.7%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.4%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

5.6%
28.8%
61.3%
77.7%
74.0%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
-
33.6%
34.2%
34.2%
71.0%
Q4 2015Q1 2016Q2 2016Q3 2016TX
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
92.1%
-
-
60.5%
55.7%
Q4 2015Q1 2016Q2 2016Q3 2016TX
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
4.0%
1.5%
1.1%
1.5%
14.2%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of short-stay residents who self-report moderate to severe pain
14.5%
5.8%
6.8%
6.1%
3.1%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of short-stay residents who newly received an antipsychotic medication
1.0%
1.1%
1.6%
0.4%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of short-stay residents with pressure ulcers that are new or worsened