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College Street Health Care Center
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Ratings Deep Dive
5 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Aug 6, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E |
| — | Aug 6, 2025 | Ensure medication error rates are not 5 percent or greater. | D |
| — | Aug 6, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| — | Aug 6, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E |
| — | Aug 6, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E |
0.3 RN Hours / Resident / Day
3.6 Total Nurse Hours / Resident / Day
— RN Turnover Rate
3.0 Long-Stay QM Rating
1.0 Short-Stay QM Rating
31.7 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST LIBERTY COUNTY HOSPITAL DISTRICT NO. 1
OPERATIONAL/MANAGERIAL CONTROL HSMTX/BEAUMONT, LLC
OPERATIONAL/MANAGERIAL CONTROL MCMAHON, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL WHITE, JOSHUA
CORPORATE DIRECTOR STRATTON, CHARLES
5% OR GREATER MORTGAGE INTEREST HEALTH SERVICES MANAGEMENT, INC.
5% OR GREATER MORTGAGE INTEREST HSMTX/BEAUMONT, LLC
Recent Penalties
| Date | Type | Fine |
|---|---|---|
| Jun 14, 2023 | Fine | $9,469 |
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