Provider Name: THE SPRINGS HEALTHCARE AND REHABILITATION
Address: 1500 COTTONWOOD CREEK TRAIL, CEDAR PARK, TX 78613
Phone: (512) 259-4259
County: Williamson (970)
Ownership Type: For profit - Limited Liability company
Certified Beds: 120
Average Residents Per Day: 101. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: FRIO HOSPITAL DISTRICT
First Approved Date: November 19, 2012
Affiliated Entity: ML HEALTHCARE (358)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 3 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.77516, LPN Staff Hours Per Day: 0.7738, RN Staff Hours Per Day: 0.4950, Licensed Staff Hours Per Day: 1.2689
Total Nurse Staff Hours Per Day, per resident: 3.04412
Weekend Nurse Staff Hours: 2.60030, Weekend RN Staff Hours: 0.3415
PT Staff Hours Per Day, per resident: 0.0576
Nurse Staff Turnover: 58.8, Nurse Turnover Note:
RN Turnover: 43.8, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0995, Case Mix LPN Hours Per Day: 0.8196, Case Mix RN Hours Per Day: 0.4269
Adjusted Nurse Aide Hours Per Day, per resident: 1.72249, Adjusted LPN Hours Per Day: 0.6967, Adjusted RN Hours Per Day: 0.4369
Total Adjusted Nurse Hours Per Day, per resident: 2.86749
Adjusted Weekend Nurse Hours Per Day, per resident: 2.44943
Health Survey Dates and Scores: Cycle 1: 2022-10-27 (Score: 74), Cycle 2: 2021-08-26 (Score: 4), Cycle 3: 2019-12-11 (Score: 24)
Total Weighted Health Score: 42.333
Reported Incidents: 0, Substantiated Complaints: 2
Infection Control Citations: 1
Fines and Penalties: Number of Fines: 4, Total Fines in Dollars: 28348.33, Payment Denials Number: 0, Total Penalties Number: 4
Location and GPS: 1500 COTTONWOOD CREEK TRAIL,CEDAR PARK,TX,78613 (30.5345, -97.808)
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 doctor's orders for the resident's immediate care at the time the resident was admitted.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-11-08
Type: Health, Deficiency: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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 2022-11-21
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 2022-11-21
Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.
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 2022-11-21
Type: Health, Deficiency: 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.
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 2022-11-21
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 2022-11-21
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 2022-05-06
Type: Health, Deficiency: Reasonably accommodate the needs and preferences of each resident.
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 2022-03-24
Type: Health, Deficiency: Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
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 2022-01-21
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 2020-01-03
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: 0344, Version: New
Description: Have an alternate power supply for its alarm system.
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 2021-11-24
Type: Fire Safety, Tag: 0918, Version: New
Description: Have generator or other power source capable of supplying service within 10 seconds.
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 2021-11-04
Type: Fire Safety, Tag: 0929, Version: New
Description: Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
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 2021-11-04
Type: Fire Safety, Tag: 0355, Version: New
Description: Properly select, install, inspect, or maintain portable fire extinguishes.
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 2020-01-03