Carriage House Manor

210 Pipeline Rd, Sulphur Springs, TX 75482 9038853589

Overall Rating

★★★★☆ Good 4 out of 5 stars

Key Metrics

Health Inspection 4/5
Staffing 4/5
Quality Measures 2/5
Certified Beds 144
Avg Residents/Day 75.9
Total Penalties 0
Total Fines $0

Recent Health Citations

Citation Jun 26, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity: D
Citation Jun 26, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Scope/Severity: D
Citation Jun 26, 2024

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Scope/Severity: D
Citation Jun 26, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity: F
Citation Jun 26, 2024

Ensure each resident receives an accurate assessment.

Scope/Severity: E

Staffing Detail

RN Hours/Resident/Day
0.53
Total Nurse Hours/Resident/Day
4.55
CNA Hours/Resident/Day
3.05
Weekend Nurse Hours
3.92

Turnover Rates

RN Turnover 30.0%
Total Nurse Turnover 46.3%

Quality Measures

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

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