Legend Oaks Healthcare and Rehabilitation-West Hou

Health Inspections

Health Inspections
3
Health Deficiencies
This Nursing Home: 8
TX State Average: 6
U.S. Average: 6
TX Deficiencies Range: 1–34
Complaints & Incidents: 3
Updated June 19, 2014.

This rating indicates how well this home has complied with standards for food preparation and other health-related activities in state inspections conducted approximately every 15 months. Results from inspections after the latest date shown below may be available at Nursing Home Compare.

August 22, 2013 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Encode each residentâ’s assessment data and transmit these data to the state within 7 days of assessment.
Low
Some
9/18/2013
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
Low
Some
9/20/2013
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
Low
Some
9/20/2013
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Some
9/20/2013
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Low
Some
9/20/2013
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Low
Some
9/20/2013
Ensure each resident receives an accurate assessment by a qualified health professional.
Low
Some
9/20/2013
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Low
Few
9/20/2013

October 11, 2012 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Low
Many
10/16/2012
Store, cook, and serve food in a safe and clean way.
Low
Many
10/16/2012
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Low
Some
11/1/2012
Have a program that investigates, controls and keeps infection from spreading.
Low
Some
11/10/2012
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Low
Some
11/10/2012
Provide care by qualified persons according to each resident's written plan of care.
Low
Few
11/1/2012
Ensure 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.
Low
Few
11/1/2012
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Low
Few
11/1/2012
Make sure that special or therapeutic diets are ordered by the attending doctor.
Low
Few
11/1/2012
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Few
11/1/2012
Provide residents with private access to a telephone.
Very Low
Some
11/1/2012

October 14, 2011 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide necessary care and services to maintain or improve the highest well being of each resident .
Low
Some
11/20/2011
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Low
Some
11/10/2011
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Some
11/10/2011
Have a program that investigates, controls and keeps infection from spreading.
Low
Some
11/10/2011
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
Low
Some
11/20/2011
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Few
11/10/2011
Develop 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.
Low
Few
11/10/2011
Protect each resident from mistreatment, neglect and misappropriation of personal property.
Low
Few
11/10/2011
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Low
Few
11/10/2011

June 01, 2011 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Tell the resident or the residentâ’s representative in writing how long the nursing home will hold the residentâ’s bed in cases of transfer to a hospital or therapeutic leave.
Low
Few
6/2/2011
Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the united states.
Low
Few
6/2/2011
Give residents a notice of rights, rules, services and charges.
Very Low
Many
6/2/2011

Note: Because of differences in calculation, all data may not match those shown on Nursing Home Compare, a website run by the federal Centers for Medicare & Medicaid Services. CMS has approved the U.S. News methodology.

Last updated June 19, 2014.


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