Bayou Manor - Houston Nursing Home
General Information
UPDATEFederal Provider Number
676282
Provider Name
BAYOU MANOR
Provider Address
4141 S BRAESWOOD BLVD
HOUSTON, TX 77025
HOUSTON, TX 77025
Provider Phone Number
(713) 666-2651
Provider SSA County
610
Provider County Name
Harris
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
20
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
BRAZOS PRESBYTERIAN HOMES INC
Date First Approved to Provide Medicare and Medicaid services
2011-05-18
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
5.05750
Reported LPN Staffing Hours per Resident per Day
0.08500
Reported RN Staffing Hours per Resident per Day
1.58500
Reported Licensed Staffing Hours per Resident per Day
1.67000
Reported Total Nurse Staffing Hours per Resident per Day
6.72750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14250
Expected CNA Staffing Hours per Resident per Day
2.68086
Expected LPN Staffing Hours per Resident per Day
0.66520
Expected RN Staffing Hours per Resident per Day
1.07895
Expected Total Nurse Staffing Hours per Resident per Day
4.42501
Adjusted CNA Staffing Hours per Resident per Day
4.62896
Adjusted LPN Staffing Hours per Resident per Day
0.10606
Adjusted RN Staffing Hours per Resident per Day
1.09765
Adjusted Total Nurse Staffing Hours per Resident per Day
6.12832
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2014-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
112
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-04-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
52.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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