Creekside Village Healthcare - Clute Nursing Home
General Information
UPDATEFederal Provider Number
676304
Provider Name
CREEKSIDE VILLAGE HEALTHCARE
Provider Address
914 N BRAZOSPORT BLVD
CLUTE, TX 77531
CLUTE, TX 77531
Provider Phone Number
(979) 265-4794
Provider SSA County
180
Provider County Name
Brazoria
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
119
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNSET NURSING HOME INC.
Date First Approved to Provide Medicare and Medicaid services
2011-12-30
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
3.37184
Reported LPN Staffing Hours per Resident per Day
0.61437
Reported RN Staffing Hours per Resident per Day
0.30862
Reported Licensed Staffing Hours per Resident per Day
0.92299
Reported Total Nurse Staffing Hours per Resident per Day
4.29483
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06552
Expected CNA Staffing Hours per Resident per Day
2.51969
Expected LPN Staffing Hours per Resident per Day
0.58435
Expected RN Staffing Hours per Resident per Day
0.94279
Expected Total Nurse Staffing Hours per Resident per Day
4.04684
Adjusted CNA Staffing Hours per Resident per Day
3.28353
Adjusted LPN Staffing Hours per Resident per Day
0.87264
Adjusted RN Staffing Hours per Resident per Day
0.24459
Adjusted Total Nurse Staffing Hours per Resident per Day
4.27792
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
36
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
36
Total Weighted Health Survey Score
39.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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