Provider Name: AZALEA HEIGHTS
Address: 3505 OLD JACKSONVILLE RD, TYLER, TX 75701
Phone: (903) 561-2011
County: Smith (892)
Ownership Type: For profit - Corporation
Certified Beds: 120
Average Residents Per Day: 77.7 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: WEST WHARTON COUNTY HOSPITAL DISTRICT
First Approved Date: January 13, 1994
Affiliated Entity: TOUCHSTONE COMMUNITIES (521)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 1 ()
Health Inspection Rating: 2 ()
QM Rating: 4 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 2 ()
Staffing Rating: 1 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.04211, LPN Staff Hours Per Day: 0.6140, RN Staff Hours Per Day: 0.3158, Licensed Staff Hours Per Day: 0.9298
Total Nurse Staff Hours Per Day, per resident: 2.97197
Weekend Nurse Staff Hours: 2.61945, Weekend RN Staff Hours: 0.3361
PT Staff Hours Per Day, per resident: 0.0469
Nurse Staff Turnover: 65.2, Nurse Turnover Note:
RN Turnover: 50.0, RN Turnover Note:
Admin Left Number: 1, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0811, Case Mix LPN Hours Per Day: 0.7789, Case Mix RN Hours Per Day: 0.3856
Adjusted Nurse Aide Hours Per Day, per resident: 1.99904, Adjusted LPN Hours Per Day: 0.5817, Adjusted RN Hours Per Day: 0.3086
Total Adjusted Nurse Hours Per Day, per resident: 2.88621
Adjusted Weekend Nurse Hours Per Day, per resident: 2.54387
Health Survey Dates and Scores: Cycle 1: 2023-08-10 (Score: 165), Cycle 2: 2022-06-22 (Score: 8), Cycle 3: 2021-03-10 (Score: 24)
Total Weighted Health Score: 89.167
Reported Incidents: 0, Substantiated Complaints: 3
Infection Control Citations: 1
Fines and Penalties: Number of Fines: 7, Total Fines in Dollars: 28145.96, Payment Denials Number: 0, Total Penalties Number: 7
Location and GPS: 3505 OLD JACKSONVILLE RD,TYLER,TX,75701 (32.3104, -95.320)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-09
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-09
Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-09
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-09
Type: Health, Deficiency: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-09
Type: Health, Deficiency: Ensure each resident receives an accurate assessment.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-09-05
Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-09-05
Type: Health, Deficiency: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-09-05
Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-09-05
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-07-12
Type: Health, Deficiency: Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-08-20
Type: Health, Deficiency: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-04-08
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-04-08
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0037, Version: New
Description: Establish staff and initial training requirements.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-04-08