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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 (23 years)
Capacity46
Residents36
Percent Occupied78%
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

July 14, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

February 4, 2016 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
LManyImmediate JeopardyComplaint+InspectionProtect each resident from mistreatment, neglect and misappropriation of personal property.
LManyImmediate JeopardyComplaint+InspectionProtect each resident from all abuse, physical punishment, and involuntary separation from others.
LManyImmediate JeopardyComplaint+InspectionDevelop 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 JeopardyComplaint+InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
LManyImmediate JeopardyComplaint+InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
LManyImmediate JeopardyComplaint+Inspection1) 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.
FManyPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
FManyPotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionUse a registered nurse at least 8 hours a day, 7 days a week.
ESomePotential for HarmComplaint+InspectionCoordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
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 InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
ESomePotential for HarmHealth InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.

January 14, 2016 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

August 28, 2015 - 2 years 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.

October 16, 2014 - 3 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 - 3 years ago

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

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 40min
2hr 10min
ReportedExpected
CNA
35min
35min
ReportedExpected
LPN
15min
50min
ReportedExpected
RN
2hr 30min
3hr 35min
ReportedExpected
Total Nursing

Quality Measures for Long Stay Residents

93.3%
75.0%
75.0%
72.7%
91.6%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.6%
90.6%
90.3%
67.7%
89.8%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
48.3%
Q4 2015Q1 2016Q2 2016Q3 2016TX
* 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
30.0%
32.1%
33.3%
33.3%
27.1%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents who received an antianxiety or hypnotic medication
-
23.0%
-
-
20.7%
Q4 2015Q1 2016Q2 2016Q3 2016TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose ability to move independently worsened
62.5%
54.2%
48.0%
-
19.1%
Q4 2015Q1 2016Q2 2016Q3 2016TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who received an antipsychotic medication
25.9%
15.4%
16.0%
-
19.1%
Q4 2015Q1 2016Q2 2016Q3 2016TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose need for help with daily activities has increased
18.6%
8.4%
9.8%
-
7.0%
Q4 2015Q1 2016Q2 2016Q3 2016TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who self-report moderate to severe pain
3.3%
0.0%
0.0%
4.5%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents who lose too much weight
-
-
-
-
6.3%
Q4 2015Q1 2016Q2 2016Q3 2016TX
* The data for this facility for some quarters is unavailable.
Percentage of high risk long-stay residents with pressure ulcers
21.9%
16.1%
20.0%
26.1%
4.9%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents who have depressive symptoms
6.7%
9.4%
10.7%
0.0%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents with a urinary tract infection
0.0%
3.1%
3.2%
3.3%
3.6%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
0.0%
0.0%
0.0%
2.7%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents with a catheter inserted and left in their bladder
9.4%
12.5%
9.7%
8.3%
0.4%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

-
-
-
-
74.0%
Q4 2015Q1 2016Q2 2016Q3 2016TX
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
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
-
-
-
-
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
-
-
-
-
14.2%
Q4 2015Q1 2016Q2 2016Q3 2016TX
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
-
-
-
-
3.1%
Q4 2015Q1 2016Q2 2016Q3 2016TX
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
-
-
-
-
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016TX
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents with pressure ulcers that are new or worsened