Provider Name: CARILLON INC
Address: 1717 A NORFOLK AVE, LUBBOCK, TX 79416
Phone: (806) 281-6114
County: Lubbock (770)
Ownership Type: Non profit - Corporation
Certified Beds: 140
Average Residents Per Day: 113. ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: CARILLON, INC.
First Approved Date: December 17, 2003
Affiliated Entity: ()
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 4 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.58955, LPN Staff Hours Per Day: 1.4297, RN Staff Hours Per Day: 0.5063, Licensed Staff Hours Per Day: 1.9360
Total Nurse Staff Hours Per Day, per resident: 4.52559
Weekend Nurse Staff Hours: 4.09858, Weekend RN Staff Hours: 0.3773
PT Staff Hours Per Day, per resident: 0.0907
Nurse Staff Turnover: , Nurse Turnover Note: 6
RN Turnover: , RN Turnover Note: 6
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 1.9017, Case Mix LPN Hours Per Day: 0.6674, Case Mix RN Hours Per Day: 0.3286
Adjusted Nurse Aide Hours Per Day, per resident: 2.77401, Adjusted LPN Hours Per Day: 1.5806, Adjusted RN Hours Per Day: 0.5805
Total Adjusted Nurse Hours Per Day, per resident: 4.92243
Adjusted Weekend Nurse Hours Per Day, per resident: 4.45798
Health Survey Dates and Scores: Cycle 1: 2023-02-09 (Score: 28), Cycle 2: 2021-11-17 (Score: 12), Cycle 3: 2019-10-04 (Score: 8)
Total Weighted Health Score: 19.333
Reported Incidents: 1, Substantiated Complaints: 1
Infection Control Citations: 1
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 1398.15, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 1717 A NORFOLK AVE,LUBBOCK,TX,79416 (33.5896, -101.934)
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: Provide and implement an infection prevention and control program.
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 2023-06-07
Type: Health, Deficiency: Assure that each resident’s assessment is updated at least once every 3 months.
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 2023-03-06
Type: Health, Deficiency: Encode each resident’s assessment data and transmit these data to the State within 7 days of 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 2023-03-06
Type: Health, Deficiency: Ensure a qualified health professional conducts resident assessments.
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 2023-03-06
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: 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 2023-03-06
Type: Health, Deficiency: 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.
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 2023-03-06
Type: Health, Deficiency: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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 2022-04-29
Type: Health, Deficiency: 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.
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 2021-12-10
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
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 2019-10-05
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: 0345, Version: New
Description: Have approved installation, maintenance and testing program for fire alarm systems.
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 2021-12-10