Sandy Lake Rehabilitation and Care Center: Data Analysis and Ratings
CMS Five Star Rating(1 out of 5):
1410 E SANDY LAKE RD COPPELL, TX 75019
972-304-4444
Data date: April 01, 2023
The Most Important Data about Sandy Lake Rehabilitation and Care Center
We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)
There is no indication of abuse occuring at Sandy Lake Rehabilitation and Care Center. (CMS flags facilities where abuse has either happened or is very likely.)
CMS 5-Star Overall Rating:
(1 out of 5):
(The national average overall star rating is 3 stars.)
Current Trend: Improving
Total Nursing Hours Spent Per Resident Per Day: 3.42
(The national average is 3.74 )
According to our analysis, Sandy Lake Rehabilitation and Care Center is ranked #156 out of 166 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near Sandy Lake Rehabilitation and Care Center.
What is this page all about?
Below is everything shred of information that we can find about Sandy Lake Rehabilitation and Care Center, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.
General Data Card
These are the basic data points for the facility.
Data date: April 01, 2023
Address: 1410 E SANDY LAKE RD
COPPELL, TX 75019
Phone: 972-304-4444
Ranking: Sandy Lake Rehabilitation and Care Center is ranked #28 out of 28 facilities within a 10 mile radius and #156 out of 166 facilities within a 25 mile radius.
Medicare Provider Number: 676247
Participating in Medicare Since: March 10, 2010
No. of Certified Beds: 123
No. of Residents: 68
Occupancy: 55.28 % (as of 05/21/2023 )
Amount fined in recent period: $271,329.26
Complaints filed: 5
Ratings History for Sandy Lake Rehabilitation and Care Center
Review of Sandy Lake Rehabilitation and Care Center Ratings and Inspection Scores
CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.
Ratings
| Overall Rating | 1: |
| Health Inspection Rating | 1: |
| Quality Rating | 4: |
| Staffing Rating | 1: |
Inspection Scores
| Cycle 1 Score (as of April 28, 2022) | 44 |
| Cycle 2 Score (as of May 03, 2021) | 414 |
| Cycle 3 Score (as of November 15, 2019) | 91 |
| Weighted All Cycles Score | 175 |
It has been 11 months since the most recent inspection.
What Goes Into the Nursing Home's 5-Star Rating
CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.
The rating system has five separate ratings including:
- Overall rating
- Health Inspection rating
- Staff rating
- RN Staffing rating
- Quality Measures rating
Nursing homes are rated from 1-star to 5-stars with 1-star being the best rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.
Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :
- Begin with the Health Inspection Rating
- Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
- Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
- Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
- Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.
Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)
Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.
Most Recent Nursing Home Inspections
CMS is required to inspect each senior nursing facility at least annually. These inspections take several days. Additional follow-up inspections as conducted as needed or for certain purposes. Inspections stopped for more than seven months in 2020 due to the Covid pandemic. That stoppage has caused all inspections to be delayed as the inspectors continue to deal with a backlog. The table below shows the latest inspections for Sandy Lake Rehabilitation and Care Center including health, fire, and inspection control inspections:
| Inspection Type | Inspection Date |
|---|---|
| Fire Safety Standard | April 27, 2022 |
| Fire Safety Standard | April 29, 2021 |
| Fire Safety Standard | November 13, 2019 |
| Health Complaint | January 10, 2023 |
| Health Complaint | October 04, 2022 |
| Health Complaint | July 06, 2022 |
| Health Complaint | June 24, 2022 |
| Health Complaint | April 28, 2022 |
| Health Complaint | March 03, 2022 |
| Health Complaint | February 17, 2022 |
| Health Complaint | February 25, 2021 |
| Health Complaint | November 10, 2020 |
| Health Standard | April 28, 2022 |
| Health Standard | May 03, 2021 |
| Health Standard | November 15, 2019 |
| Infection Control | January 10, 2023 |
| Infection Control | November 30, 2022 |
| Infection Control | October 04, 2022 |
| Infection Control | August 20, 2022 |
| Infection Control | April 21, 2022 |
| Infection Control | November 10, 2021 |
| Infection Control | February 25, 2021 |
| Infection Control | February 01, 2021 |
| Infection Control | December 22, 2020 |
| Infection Control | December 03, 2020 |
| Infection Control | November 10, 2020 |
| Infection Control | October 14, 2020 |
| Infection Control | September 09, 2020 |
Owner and Operator Information for Sandy Lake Rehabilitation and Care Center
Our database of owners and operators shows all direct owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.
Business Entity Name:
DALLAS COUNTY HOSPITAL DISTRICT
Owners:
Managers and Directors:
- MARILYN CALLIES (OFFICER)
- CARE INN OF SANGER LLC (OPERATIONAL/MANAGERIAL CONTROL)
- FREDERICK CERISE (DIRECTOR)
- DALLAS COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL)
- MUBASHIR KAMRAN (MANAGING EMPLOYEE)
Analysis of Nursing Hours Spent Per Patient
CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.
The nursing staff of Sandy Lake Rehabilitation and Care Center spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing homes spent per resident.
| Type | Facility | State / National Avg |
|---|---|---|
| Registered Nurse (RN) | ||
| Hours | 0.34 | 0.36 / 0.65 |
| Case Mix | 0.40 | 0.42 / 0.39 |
| Adjusted | 0.33 | NA / NA |
| Licensed Practical Nurse (LPN) | ||
| Hours | 0.98 | 1.02 / 0.88 |
| Case Mix | 0.77 | NA / NA |
| Adjusted | 0.93 | NA / NA |
| Certified Nursing Assistants (CNA) | ||
| Hours | 2.10 | 1.93 / 2.21 |
| Case Mix | 2.27 | NA / NA |
| Adjusted | 1.89 | NA / NA |
| Total Licensed Staff | ||
| Hours | 1.32 | 1.38 / 1.53 |
| Physical Therapist (PT) | ||
| Hours | 0.07 | 0.06 / 0.07 |
| Total Nursing Homes Spent per Resident on Average | ||
| Hours | 3.42 | 3.30 / 3.74 |
| Case Mix | 3.44 | 3.22 / 3.16 |
| Adjusted | 3.14 | NA / NA |
Quality Measures
Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.
| Desc. | Perc. | State Avg. / Comparison |
|---|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521) | 27.3% |
24.5% Worse |
| Percentage of short-stay residents who had an outpatient emergency department visit (qm522) | 9.7% |
12.2% Better |
| Number of hospitalizations per 1000 long-stay resident days (qm551) | 1.8% |
1.9% Better |
| Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) | 0.7% |
1.2% Better |
| Percentage of long-stay residents whose need for help with daily activities has increased (qm401) | 18.8% |
17.2% Worse |
| Percentage of long-stay residents who lose too much weight (qm404) | 5.5% |
4.9% Worse |
| Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) | 41.1% |
52.3% Better |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) | 2.1% |
1.5% Worse |
| Percentage of long-stay residents with a urinary tract infection (qm407) | 0.4% |
1.4% Better |
| Percentage of long-stay residents who have depressive symptoms (qm408) | 1.6% |
5.3% Better |
| Percentage of long-stay residents who were physically restrained (qm409) | 0.0% |
0.0% Better |
| Percentage of long-stay residents experiencing one or more falls with major injury (qm410) | 4.8% |
3.4% Worse |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) | 97.0% |
95.6% Better |
| Percentage of long-stay residents who received an antipsychotic medication (qm419) | 6.1% |
10.1% Better |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) | 84.8% |
83.9% Better |
| Percentage of short-stay residents who newly received an antipsychotic medication (qm434) | 0.0% |
1.8% Better |
| Percentage of long-stay residents whose ability to move independently worsened (qm451) | 14.7% |
13.4% Worse |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) | 28.8% |
22.1% Worse |
| Percentage of high risk long-stay residents with pressure ulcers (qm453) | 7.0% |
7.3% Better |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) | 92.9% |
96.1% Worse |
| Percentage of short-stay residents who made improvements in function (qm471) | 62.3% |
66.6% Worse |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) | 89.7% |
77.8% Better |
Sandy Lake Rehabilitation and Care Center Violations, Complaints and Fines
These are complaints and fines that are reported by CMS. Some of the data is not very recent, but we have decided to include it here so that you have as much information as possible.
Amount fined in recent period: $271,329.26, Complaints filed: 5
| Deficiency | Deficiency Date / Date Corrected |
|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (Fire Safety) | 11-13-2019 / 12-23-2019 |
| Have an alternate power supply for its alarm system. (Fire Safety) | 11-13-2019 / 12-23-2019 |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. (Fire Safety) | 11-13-2019 / 12-23-2019 |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. (Fire Safety) | 11-13-2019 / 12-23-2019 |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Health) | 11-15-2019 / 12-15-2019 |
| 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. (Health) | 11-15-2019 / 12-15-2019 |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Health) | 11-10-2020 / 12-04-2020 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 02-25-2021 / 03-23-2021 |
| Provide properly protected cooking facilities. (Fire Safety) | 04-29-2021 / 06-11-2021 |
| Install an approved automatic sprinkler system. (Fire Safety) | 04-29-2021 / 06-11-2021 |
| Inspect, test, and maintain automatic sprinkler systems. (Fire Safety) | 04-29-2021 / 06-11-2021 |
| Have simulated fire drills held at unexpected times. (Fire Safety) | 04-29-2021 / 06-11-2021 |
| Have proper medical gas storage and administration areas. (Fire Safety) | 04-29-2021 / 06-11-2021 |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Health) | 05-03-2021 / 05-24-2021 |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. (Health) | 05-03-2021 / 05-24-2021 |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. (Health) | 05-03-2021 / 05-24-2021 |
| Honor the resident's right to organize and participate in resident/family groups in the facility. (Health) | 02-17-2022 / 03-31-2022 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Health) | 02-17-2022 / 03-31-2022 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Health) | 02-17-2022 / 03-31-2022 |
| Ensure each resident receives an accurate assessment. (Health) | 02-17-2022 / 03-31-2022 |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Health) | 02-17-2022 / 03-31-2022 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Health) | 02-17-2022 / 03-31-2022 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 02-17-2022 / 03-31-2022 |
| Keep residents' personal and medical records private and confidential. (Health) | 03-03-2022 / 04-01-2022 |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Health) | 03-03-2022 / 04-01-2022 |
| Provide safe and appropriate respiratory care for a resident when needed. (Health) | 03-03-2022 / 04-01-2022 |
| Install emergency lighting that can last at least 1 1/2 hours. (Fire Safety) | 04-27-2022 / 05-25-2022 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. (Fire Safety) | 04-27-2022 / 05-25-2022 |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. (Fire Safety) | 04-27-2022 / 05-25-2022 |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Health) | 04-28-2022 / 05-25-2022 |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Health) | 06-24-2022 / 07-01-2022 |
| Reasonably accommodate the needs and preferences of each resident. (Health) | 07-06-2022 / 07-29-2022 |
| Provide and implement an infection prevention and control program. (Health) | 10-04-2022 / 11-09-2022 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Health) | 01-10-2023 / 02-06-2023 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Health) | 01-10-2023 / 02-06-2023 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Health) | 01-10-2023 / 02-06-2023 |
| Provide and implement an infection prevention and control program. (Health) | 01-10-2023 / 02-06-2023 |
Hospitals Near Sandy Lake Rehabilitation and Care Center
Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Sandy Lake Rehabilitation and Care Center.
This information is based on the most recent Hospital data. Historical data is not available.
| Hospital | 5-Star Overall Rating |
|---|---|
|
TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH 1301 PENNSYLVANIA AVENUE FORT WORTH, TX 76104 |
2 |
|
BAYLOR SCOTT & WHITE MEDICAL CENTER-WHITE ROCK 9440 POPPY DR DALLAS, TX 75218 |
2 |
|
MEDICAL CITY ARLINGTON 3301 MATLOCK ROAD ARLINGTON, TX 76015 |
2 |
|
METHODIST CHARLTON MEDICAL CENTER 3500 W WHEATLAND ROAD DALLAS, TX 75237 |
2 |
|
TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL 800 W RANDOL MILL RD ARLINGTON, TX 76012 |
2 |
|
MEDICAL CITY PLANO 3901 W 15TH ST PLANO, TX 75075 |
2 |
|
PARKLAND HEALTH & HOSPITAL SYSTEM 5200 HARRY HINES BLVD DALLAS, TX 75235 |
2 |
|
BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE 231 SOUTH COLLINS ROAD SUNNYVALE, TX 75182 |
2 |
|
METHODIST RICHARDSON MEDICAL CENTER 2831 E PRESIDENT GEORGE BUSH HIGHWAY RICHARDSON, TX 75082 |
2 |
|
MEDICAL CITY DENTON 3535 SOUTH I35 EAST DENTON, TX 76210 |
3 |
|
BAYLOR UNIVERSITY MEDICAL CENTER 3500 GASTON AVE DALLAS, TX 75246 |
3 |
|
MEDICAL CITY NORTH HILLS 4401 BOOTH CALLOWAY ROAD NORTH RICHLAND HILLS, TX 76180 |
3 |
|
TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO 6200 W PARKER RD PLANO, TX 75093 |
3 |
|
TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON 3000 N I-35 DENTON, TX 76201 |
3 |
|
SANA HEALTHCARE CARROLLTON D/B/A CARROLLTON REGIONAL MEDICAL CENTER 4343 NORTH JOSEY LANE CARROLLTON, TX 75010 |
3 |
|
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER FORT WORTH 1400 EIGHTH AVE FORT WORTH, TX 76104 |
3 |
|
JPS HEALTH NETWORK 1500 S MAIN ST FORT WORTH, TX 76104 |
3 |
|
TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN 1105 CENTRAL EXPRESSWAY NORTH ALLEN, TX 75013 |
3 |
|
MEDICAL CITY LAS COLINAS 6800 N MACARTHUR BLVD IRVING, TX 75039 |
3 |
|
METHODIST DALLAS MEDICAL CENTER 1441 NORTH BECKLEY AVENUE DALLAS, TX 75203 |
3 |
Medical Professionals Associated with Sandy Lake Rehabilitation and Care Center
These are the doctors who are affiliated with Sandy Lake Rehabilitation and Care Center. The data is from the most recent period. Historical data is not available.
- FARHAN KHAN ( INTERNAL MEDICINE - HEALTHTEXAS PROVIDER NETWORK )
- CHIRAG PATEL ( INTERNAL MEDICINE - PREMIER INTERNISTS OF NORTH TEXAS, PLLC )
- MIGUEL HERNANDEZ ( INTERNAL MEDICINE - QUESTCARE MATRIX PLLC )
Detailed Analysis Pages:
Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.
CMS Five Star Ratings and Quality Measures for Sandy Lake Rehabilitation and Care Center
Five different rating results plus detailed inspection numbers and quality measures for Sandy Lake Rehabilitation and Care Center.
Covid Infections at Sandy Lake Rehabilitation and Care Center
This report is updated weekly and shows new and historical infection levels.
Nursing Hours Analysis for Sandy Lake Rehabilitation and Care Center
How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.
Ownership Details for Sandy Lake Rehabilitation and Care Center
A list of all of the registered owners for Sandy Lake Rehabilitation and Care Center. This includes direct and indirect owners and managers.
Noted Deficiencies for Sandy Lake Rehabilitation and Care Center
A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.
Comparison Ranking of Nearby Skilled Nursing Facilities
How does Sandy Lake Rehabilitation and Care Center compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.
Best Nursing Homes in COPPELL, TX
Homes that you should consider. A list ranking the best skilled nursing facilities in COPPELL based on their weighted inspection score as of April 01, 2023.
Worst Nursing Homes in COPPELL, TX
Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in COPPELL based on their weighted inspection score as of April 01, 2023.
Other Data Periods:
Data on Sandy Lake Rehabilitation and Care Center is available for the following periods:
