LAKEWOOD SENIOR LIVING OF HERMANN PARK
5600 CHENEVERT
HOUSTON, TX 77004
(713) 523-6831
Size (date of last inspection: 20060524)
185 total beds available
136 current residents
74% occupied
Staff Presence
3 nurse hours per resident per day
0.17 with Registered Nurses
0.71 with Licensed Practical Nurses
2.12 with Certified Nurse Assistants
Medicare and Medicaid
Yes participant in Medicare
Yes participant in Medicaid
Administration Details
This home is owned by a for-profit corporation
This home is not located within a hospital
The owner does own other homes
This home has resident and family councils
Resident Details (survey date: 20060524)
| 0% | Percent of Short-Stay Residents With Pressure Sores |
| 6% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 4% | Percent of Residents Who are More Depressed or Anxious |
| 8% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 7% | Percent of Residents Who Lose Too Much Weight |
| 6% | Percent of Short-Stay Residents With Delirium |
| 12% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 13% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 25% | Percent of High-Risk Residents Who Have Pressure Sores |
| 62% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 5% | Percent of Residents With a Urinary Tract Infection |
| 2% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 4% | Percent of Residents Who Have Moderate to Severe Pain |
| 8% | Percent of Residents Who Were Physically Restrained |
| 23% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
Deficiencies Found in Home Inspections
7
1...12
|
Quality Care: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20040624 | Corrected By: | 20040722 |
|
6
1...12
|
Administration: Set up or keep a group of people to review and ensure quality.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20040624 | Corrected By: | 20040722 |
|
5
1...12
|
Environmental: Make sure there is a program to prevent/deal with mice, insects, or other pests.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060524 | Corrected By: | 20060624 |
|
5
1...12
|
Administration: Give or get lab tests to meet the needs of residents.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040624 | Corrected By: | 20040820 |
|
5
1...12
|
Environmental: Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040624 | Corrected By: | 20040820 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060524 | Corrected By: | 20060624 |
|
5
1...12
|
Pharmacy Service: Provide drugs and related services needed by each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040624 | Corrected By: | 20040820 |
|
5
1...12
|
Pharmacy Service: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040624 | Corrected By: | 20040722 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050519 | Corrected By: | 20050524 |
|
5
1...12
|
Environmental: Make sure that a working call system is available in each resident's room or bathroom and bathing area.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060524 | Corrected By: | 20060624 |
|
5
1...12
|
Resident Rights: Provide care in a way that keeps or builds each resident's dignity and self respect.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040624 | Corrected By: | 20040722 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040624 | Corrected By: | 20040722 |
|
5
1...12
|
Nutrition and Diet: 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060524 | Corrected By: | 20060624 |
|
5
1...12
|
Resident Assessment: 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040624 | Corrected By: | 20040722 |
|
4
1...12
|
Administration: Give or get lab tests to meet the needs of residents.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050519 | Corrected By: | 20050524 |
|
4
1...12
|
Environmental: Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050519 | Corrected By: | 20050524 |
|
4
1...12
|
Environmental: Have a program to keep infection from spreading.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060524 | Corrected By: | 20060624 |
|
4
1...12
|
Pharmacy Service: Act when the pharmacist reports something unusual.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050519 | Corrected By: | 20050524 |
|
4
1...12
|
Pharmacy Service: Provide drugs and related services needed by each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050519 | Corrected By: | 20050524 |
|
4
1...12
|
Resident Assessment: Do a new assessment after any major change in a resident's physical or mental health.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050519 | Corrected By: | 20050704 |
|
4
1...12
|
Quality Care: 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.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060524 | Corrected By: | 20060624 |
|
4
1...12
|
Environmental: Have a program to keep infection from spreading.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040624 | Corrected By: | 20040820 |
|
4
1...12
|
Resident Assessment: Do a new assessment after any major change in a resident's physical or mental health.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040624 | Corrected By: | 20040722 |
|
4
1...12
|
Administration: Give lab tests only when the attending doctor ordered them.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040624 | Corrected By: | 20040722 |
|
4
1...12
|
Administration: Follow all laws and professional standards.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040624 | Corrected By: | 20040820 |
|
4
1...12
|
Environmental: Make sure that staff members wash their hands when needed.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040624 | Corrected By: | 20040820 |
|
4
1...12
|
Environmental: Keep a resident apart from the others if the resident has an infection that can spread.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040624 | Corrected By: | 20040820 |
|
4
1...12
|
Quality Care: Give each resident enough fluids to keep them healthy and prevent dehydration.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040624 | Corrected By: | 20040722 |
|
4
1...12
|
Resident Assessment: Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040624 | Corrected By: | 20040722 |
|
3
1...12
|
Environmental: Get rid of garbage properly.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20060524 | Corrected By: | 20060624 |
|
3
1...12
|
Resident Rights: Try to resolve each resident's complaints quickly.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040624 | Corrected By: | 20040722 |
|
2
1...12
|
Resident Assessment: Keep assessments completed in the preceding 15 months in the resident's active record.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050519 | Corrected By: | 20050704 |
|
2
1...12
|
Mistreatment: Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040624 | Corrected By: | 20040722 |
|
2
1...12
|
Resident Rights: Have a private telephone available for use.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050519 | Corrected By: | 20050617 |
|
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