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How QRS Evaluates ICF/IID Facilities

Overview:

Intermediate care facilities for individuals with intellectual disability (ICF/IID) serve qualified persons at any level of need. They may be privately operated, part of the community Local Authority, or be one of the State Supported Living Centers. In QRS, both privately owned facilities and community-based facilities are listed together. The State Supported Living Centers are listed separately. The listing of ICF/IID and State Supported Living Center facilities as distinct types of facilities means that comparing providers of the same type is valid and that comparing providers of different types is not.

Rating:

DADS inspects and regulates these facilities. The department conducts routine inspections of licensed facilities, and it also conducts complaint investigations in these facilities.

QRS assigns two ratings and an overall score to each facility in order to assist consumers who want to make high-level comparisons of different providers. Ratings are based on recommendations that stem from inspections and complaint investigations. Each inspection and investigation is associated with a regulatory recommendation, and the recommendation reflects the facility's level of compliance with regulatory requirements. Recommendations are actions such as contract renewal (recertification) and contract termination.

The first rating is determined from the recommendations associated with the most recent comprehensive licensure inspection. The second rating is determined by the complaint investigation that shows the lowest level of compliance from among all investigations that were conducted in the most recent 6 months. For example, the investigation rating for a facility that has had four investigations during the last 6 months, with three revealing good compliance and one showing poor compliance, would be rated as showing poor compliance. Only facilities that have had either no investigations or only investigations showing full compliance during the last six months achieve the highest investigation rating.

There are six levels of regulatory compliance. Each compliance level, and the recommendation on which it is based, is determined from the type and seriousness of deficiencies and licensure violations (citations for federal or state requirements) rather than from the number of deficiencies. Each step in the compliance rating scale has a value 10 points higher than the preceding step such that the lowest level of compliance is scored as zero and the highest level is scored as 50. A numerical Overall Score, is the simple sum of the two ratings. This score is provided to help you make comparisons, and it also appears in the provider-specific QRS report.

It is important to understand that no rating, favorable or unfavorable, can reliably predict the current conditions at any facility. The fact that a facility is listed in QRS means that either the facility is currently meeting federal and state minimum standards or is being closely monitored to ensure that known problems are corrected. It is also important to recognize that ratings and scores that are based solely on regulatory compliance cannot distinguish between adequate service and superior service.

Because the Overall Rating is based solely on a facility's ability to comply with federal and state requirements, it may not account for everything that you would consider important in deciding whether a facility would meet your personal criteria. QRS is not meant as a shortcut for finding a good facility; it is simply an additional source of valuable information that you can use to find and evaluate potential providers of ICF/IID services.

The compliance rating scale on which both the Inspection and Investigation ratings are based is explained below. Note that the lowest rating has a numerical value of zero and the highest has a numerical value of 50.

The facility is in substantial compliance with no health or life safety code deficiencies cited.  Recommendation to (re)certify. The facility is in substantial compliance with no health or life safety code deficiencies cited. Recommendation to (re)certify.
The facility is in substantial compliance with health or life safety code deficiencies cited.  Recommendation to (re)certify. The facility is in substantial compliance with health or life safety code deficiencies cited. Recommendation to (re)certify.
The facility is not in substantial compliance with one or more conditions of participation.  Recommendation to terminate certification if the facility fails to achieve compliance within 90 days. The facility is not in substantial compliance with one or more conditions of participation. Recommendation to terminate certification if the facility fails to achieve compliance within 90 days.
The facility is not in substantial compliance with one or more conditions of participation and an immediate jeopardy situation exists.  Recommendation to terminate certification if the facility fails to correct an immediate jeopardy situation within 23 days. The facility is not in substantial compliance with one or more conditions of participation and an immediate jeopardy situation exists. Recommendation to terminate certification if the facility fails to correct an immediate jeopardy situation within 23 days.
No Rating Available. No Rating Available.

Caution: This web site does not reflect recommendations of any specific provider by DADS. It is simply a tool that you can use to help you make a selection. Because QRS shows information from a limited time period and is updated only once each month, it may not include some important events that are either older or more recent. QRS rating systems are developed in collaboration with long term care providers and consumer advocates and may include some self-declared and unverified information.

DADS strongly encourages you to visit with providers that you consider and talk with people who receive services from them. To obtain the most recent information about a provider, contact DADS Consumer Information Hotline at 1-800-458-9858. For general inquiries, send an email to LTCSearch@hhsc.state.tx.us.

Last Update 02/22/2017