Colonial Belle Nursing Home Sealy - Sealy Nursing Home
General Information
UPDATEFederal Provider Number
676166
Provider Name
COLONIAL BELLE NURSING HOME SEALY
Provider Address
1401 EAGLE LAKE ROAD
SEALY, TX 77474
SEALY, TX 77474
Provider Phone Number
(979) 885-2937
Provider SSA County
70
Provider County Name
Austin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
87
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LTC OF AUSTIN COUNTY I, LLC
Date First Approved to Provide Medicare and Medicaid services
2007-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
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
2.32857
Reported LPN Staffing Hours per Resident per Day
0.63492
Reported RN Staffing Hours per Resident per Day
0.25000
Reported Licensed Staffing Hours per Resident per Day
0.88492
Reported Total Nurse Staffing Hours per Resident per Day
3.21349
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01349
Expected CNA Staffing Hours per Resident per Day
2.28732
Expected LPN Staffing Hours per Resident per Day
0.58528
Expected RN Staffing Hours per Resident per Day
0.98210
Expected Total Nurse Staffing Hours per Resident per Day
3.85470
Adjusted CNA Staffing Hours per Resident per Day
2.49795
Adjusted LPN Staffing Hours per Resident per Day
0.90040
Adjusted RN Staffing Hours per Resident per Day
0.19020
Adjusted Total Nurse Staffing Hours per Resident per Day
3.36038
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
40
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
144
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
144
Total Weighted Health Survey Score
72.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
7
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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