Ebony Lake Nursing And Rehabilitation Center - Brownsville Nursing Home
General Information
UPDATEFederal Provider Number
675635
Provider Name
EBONY LAKE NURSING AND REHABILITATION CENTER
Provider Address
1001 CENTRAL BLVD
BROWNSVILLE, TX 78520
BROWNSVILLE, TX 78520
Provider Phone Number
(956) 541-0917
Provider SSA County
240
Provider County Name
Cameron
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINDSOR NURSING CENTER PARTNERS OF EBONY LAKE, LTD.
Date First Approved to Provide Medicare and Medicaid services
1996-09-11
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.96359
Reported LPN Staffing Hours per Resident per Day
0.74563
Reported RN Staffing Hours per Resident per Day
0.51845
Reported Licensed Staffing Hours per Resident per Day
1.26408
Reported Total Nurse Staffing Hours per Resident per Day
4.22767
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06796
Expected CNA Staffing Hours per Resident per Day
2.49364
Expected LPN Staffing Hours per Resident per Day
0.72831
Expected RN Staffing Hours per Resident per Day
1.21679
Expected Total Nurse Staffing Hours per Resident per Day
4.43874
Adjusted CNA Staffing Hours per Resident per Day
2.91613
Adjusted LPN Staffing Hours per Resident per Day
0.84974
Adjusted RN Staffing Hours per Resident per Day
0.31837
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83922
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
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
56
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
42.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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