Cypress Glen East Nursing & Rehabilitation - Port Arthur Nursing Home

General Information

UPDATE
Federal Provider Number
675993
Provider Name
CYPRESS GLEN EAST NURSING & REHABILITATION
Provider Address
4225 LAKE ARTHUR DR
PORT ARTHUR, TX 77642
Provider Phone Number
(409) 727-3193
Provider SSA County
700
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PM MANAGEMENT - GOLDEN TRIANGLE NC IV LLC
Date First Approved to Provide Medicare and Medicaid services
2003-11-13
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.30909
Reported LPN Staffing Hours per Resident per Day
1.21883
Reported RN Staffing Hours per Resident per Day
0.71494
Reported Licensed Staffing Hours per Resident per Day
1.93377
Reported Total Nurse Staffing Hours per Resident per Day
4.24286
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00909
Expected CNA Staffing Hours per Resident per Day
2.46814
Expected LPN Staffing Hours per Resident per Day
0.66910
Expected RN Staffing Hours per Resident per Day
1.20907
Expected Total Nurse Staffing Hours per Resident per Day
4.34630
Adjusted CNA Staffing Hours per Resident per Day
2.29558
Adjusted LPN Staffing Hours per Resident per Day
1.51193
Adjusted RN Staffing Hours per Resident per Day
0.44183
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93496
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2015-02-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
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
64
Cycle 2 Standard Health Survey Date
2014-03-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2013-01-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
75.33300
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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