Deerbrook Skilled Nursing And Rehab Center - Humble Nursing Home
General Information
UPDATEFederal Provider Number
676263
Provider Name
DEERBROOK SKILLED NURSING AND REHAB CENTER
Provider Address
9250 HUMBLE-WESTFIELD RD
HUMBLE, TX 77338
HUMBLE, TX 77338
Provider Phone Number
(281) 446-5160
Provider SSA County
610
Provider County Name
Harris
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
124
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HMG PARK MANOR OF DEERBROOK, LLC
Date First Approved to Provide Medicare and Medicaid services
2010-12-02
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.23550
Reported LPN Staffing Hours per Resident per Day
1.18800
Reported RN Staffing Hours per Resident per Day
0.46700
Reported Licensed Staffing Hours per Resident per Day
1.65500
Reported Total Nurse Staffing Hours per Resident per Day
3.89050
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06850
Expected CNA Staffing Hours per Resident per Day
2.58359
Expected LPN Staffing Hours per Resident per Day
0.77144
Expected RN Staffing Hours per Resident per Day
1.30164
Expected Total Nurse Staffing Hours per Resident per Day
4.65668
Adjusted CNA Staffing Hours per Resident per Day
2.12311
Adjusted LPN Staffing Hours per Resident per Day
1.27817
Adjusted RN Staffing Hours per Resident per Day
0.26808
Adjusted Total Nurse Staffing Hours per Resident per Day
3.36768
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-12-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
257
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
257
Total Weighted Health Survey Score
101.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
42
Number of Fines
2
Total Amount of Fines in Dollars
10515
Number of Payment Denials
2
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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