| The Brightpointe | |
| 604 S Conroe Medical Dr, Conroe, Texas 77304 | |
| (936) 494-6600 | |
| Name | The Brightpointe |
|---|---|
| Location | 604 S Conroe Medical Dr, Conroe, Texas |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 150 |
| Occupancy Rate | 48.6% |
| Medicare ID (CCN) | 676420 |
| Legal Business Name | PH Ops of Conroe LLC |
| Ownership Type | For Profit - Corporation |
| Chain | Purehealth (8 nursing homes) |
| Chain Average Overall Rating | 3.5 out of 5 |
| NPI Number | 1447997895 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | PH Ops of Conroe LLC |
| Doing Business As | The Brightpointe |
| Address | 604 S Conroe Medical Dr, Conroe, TX 77304 |
| Phone Number | 936-494-6600 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.26 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.69 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.64 | 0.86 |
| Nurse aide hours per resident per day | 1.93 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.74 | 3.42 |
| RN hours per resident per day on the weekend | 0.39 | 0.48 |
| Physical therapist hours per resident per day | 0.08 | 0.07 |
| Total nursing staff turnover | 54.9% | 45.8% |
| Registered nurse turnover | 58.8% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $21,037 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 30, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 31, 2024 |
| Mar 20, 2024 | Protect each resident from the wrongful use of the resident's belongings or money. F0602, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by Apr 20, 2024 |
| Mar 20, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by Apr 20, 2024 |
| Mar 20, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, pattern | Corrected by Apr 20, 2024 |
| Mar 20, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Apr 20, 2024 |
| Mar 20, 2024 | 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. F0726, Nursing and Physician Services, Complaint inspection | Potential for harm, isolated | Corrected by Apr 20, 2024 |
| Mar 20, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Apr 20, 2024 |
| Sep 21, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Immediate jeopardy, isolated | Corrected by Sep 22, 2023 |
| Sep 21, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by Sep 22, 2023 |
| Sep 21, 2023 | 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. F0726, Nursing and Physician Services, Complaint inspection | Immediate jeopardy, isolated | Corrected by Sep 22, 2023 |
| Sep 21, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Dec 8, 2023 |
| Sep 21, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Dec 8, 2023 |
| Mar 9, 2023 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 7, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.53 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 8.11 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.92 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 3.64 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.67 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.28 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | Not Available | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.5 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Not Available | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.94 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 11.43 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.43 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 0 | 15.38 |
Woodland Manor Nursing and Rehabilitation Location: 99 Rigby Owen Rd., Conroe, Texas 77304 Phone: (936) 756-1240 |