MEMORIAL HERMANN SPRING SHADOWS PINES
3033 GESSNER
HOUSTON, TX 77080
(713) 460-8222
Size (date of last inspection: 20051117)
54 total beds available
35 current residents
65% occupied
Staff Presence
0 nurse hours per resident per day
Not Available with Registered Nurses
Not Available with Licensed Practical Nurses
Not Available with Certified Nurse Assistants
Medicare and Medicaid
Yes participant in Medicare
No participant in Medicaid
Administration Details
This home is owned by a non-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: 20051117)
| 0% | Percent of Residents Who are More Depressed or Anxious |
| 0% | Percent of Residents Who Have Moderate to Severe Pain |
| 0% | Percent of Residents Who Lose Too Much Weight |
| 0% | Percent of Residents Who Were Physically Restrained |
| 0% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 15% | Percent of Short-Stay Residents With Pressure Sores |
| 0% | Percent of High-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 0% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 0% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 0% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 0% | Percent of Residents With a Urinary Tract Infection |
| 7% | Percent of Short-Stay Residents With Delirium |
| 23% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
Deficiencies Found in Home Inspections
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20051117 | Corrected By: | 20051227 |
|
5
1...12
|
Environmental: Have a program to keep infection from spreading.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20051117 | Corrected By: | 20051227 |
|
5
1...12
|
Environmental: Make sure that the nursing home area is free of dangers that cause accidents.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20041007 | Corrected By: | 20041115 |
|
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: | 20041007 | Corrected By: | 20041115 |
|
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: | 20051117 | Corrected By: | 20051227 |
|
5
1...12
|
Environmental: Make sure that the nursing home area is free of dangers that cause accidents.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20051117 | Corrected By: | 20051227 |
|
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: | 20051117 | Corrected By: | 20051227 |
|
4
1...12
|
Mistreatment: 1) Hire only people who have 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.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030814 | Corrected By: | 20030918 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051117 | Corrected By: | 20051227 |
|
3
1...12
|
Nutrition and Diet: Make sure that residents are well nourished.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20030814 | Corrected By: | 20030918 |
|
2
1...12
|
Resident Rights: Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20051117 | Corrected By: | 20051227 |
|
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