Brookshire Residence And Rehabilitation Center - Brookshire Nursing Home

General Information

UPDATE
Federal Provider Number
675700
Provider Name
BROOKSHIRE RESIDENCE AND REHABILITATION CENTER
Provider Address
710 HWY 359 S
BROOKSHIRE, TX 77423
Provider Phone Number
2813755272
Provider SSA County
950
Provider County Name
Waller
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DEWITT MEDICAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1997-04-10
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.38861
Reported LPN Staffing Hours per Resident per Day
0.66266
Reported RN Staffing Hours per Resident per Day
0.38101
Reported Licensed Staffing Hours per Resident per Day
1.04367
Reported Total Nurse Staffing Hours per Resident per Day
2.43228
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07025
Expected CNA Staffing Hours per Resident per Day
2.46388
Expected LPN Staffing Hours per Resident per Day
0.67716
Expected RN Staffing Hours per Resident per Day
1.15571
Expected Total Nurse Staffing Hours per Resident per Day
4.29675
Adjusted CNA Staffing Hours per Resident per Day
1.38287
Adjusted LPN Staffing Hours per Resident per Day
0.81223
Adjusted RN Staffing Hours per Resident per Day
0.24633
Adjusted Total Nurse Staffing Hours per Resident per Day
2.28179
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
128
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
128
Cycle 2 Total Number of Health Deficiencies
24
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
144
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
22
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
196
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
196
Total Weighted Health Survey Score
144.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
8
Number of Fines
2
Total Amount of Fines in Dollars
4000
Number of Payment Denials
2
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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