Clairmont Beaumont - Beaumont Nursing Home
General Information
UPDATEFederal Provider Number
455757
Provider Name
CLAIRMONT BEAUMONT
Provider Address
1020 S 23RD ST
BEAUMONT, TX 77707
BEAUMONT, TX 77707
Provider Phone Number
(409) 842-9700
Provider SSA County
700
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
148
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINNIE STOWELL HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1988-08-11
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
1.80433
Reported LPN Staffing Hours per Resident per Day
1.19231
Reported RN Staffing Hours per Resident per Day
0.42548
Reported Licensed Staffing Hours per Resident per Day
1.61779
Reported Total Nurse Staffing Hours per Resident per Day
3.42212
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06779
Expected CNA Staffing Hours per Resident per Day
2.34910
Expected LPN Staffing Hours per Resident per Day
0.62964
Expected RN Staffing Hours per Resident per Day
1.15398
Expected Total Nurse Staffing Hours per Resident per Day
4.13271
Adjusted CNA Staffing Hours per Resident per Day
1.88467
Adjusted LPN Staffing Hours per Resident per Day
1.57172
Adjusted RN Staffing Hours per Resident per Day
0.27550
Adjusted Total Nurse Staffing Hours per Resident per Day
3.33781
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-05-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2012-06-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
61.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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