Brookdale Place Willowbrook - Houston Nursing Home
General Information
UPDATEFederal Provider Number
676236
Provider Name
BROOKDALE PLACE WILLOWBROOK
Provider Address
13500 BRETON RIDGE
HOUSTON, TX 77070
HOUSTON, TX 77070
Provider Phone Number
2818074744
Provider SSA County
610
Provider County Name
Harris
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ARC WILLOWBROOK LP
Date First Approved to Provide Medicare and Medicaid services
2009-09-15
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.39851
Reported LPN Staffing Hours per Resident per Day
1.27761
Reported RN Staffing Hours per Resident per Day
1.35597
Reported Licensed Staffing Hours per Resident per Day
2.63358
Reported Total Nurse Staffing Hours per Resident per Day
6.03209
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18358
Expected CNA Staffing Hours per Resident per Day
2.50533
Expected LPN Staffing Hours per Resident per Day
0.62946
Expected RN Staffing Hours per Resident per Day
1.22370
Expected Total Nurse Staffing Hours per Resident per Day
4.35849
Adjusted CNA Staffing Hours per Resident per Day
3.32847
Adjusted LPN Staffing Hours per Resident per Day
1.68465
Adjusted RN Staffing Hours per Resident per Day
0.82797
Adjusted Total Nurse Staffing Hours per Resident per Day
5.57871
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-08-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
132
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
66
Cycle 2 Total Health Score
66
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
95.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
1105
Number of Payment Denials
2
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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