Emeritus At Kingwood - Kingwood Nursing Home
General Information
UPDATEFederal Provider Number
676330
Provider Name
EMERITUS AT KINGWOOD
Provider Address
24025 KINGWOOD PLACE DRIVE
KINGWOOD, TX 77339
KINGWOOD, TX 77339
Provider Phone Number
(281) 312-4400
Provider SSA County
610
Provider County Name
Harris
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
25
Number of Residents in Certified Beds
18
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KINGWOOD SNF, LLC
Date First Approved to Provide Medicare and Medicaid services
2013-02-14
Continuing Care Retirement Community
Y
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
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.57778
Reported LPN Staffing Hours per Resident per Day
2.53889
Reported RN Staffing Hours per Resident per Day
1.26944
Reported Licensed Staffing Hours per Resident per Day
3.80833
Reported Total Nurse Staffing Hours per Resident per Day
6.38611
Reported Physical Therapist Staffing Hours per Resident Per Day
0.31667
Expected CNA Staffing Hours per Resident per Day
2.35726
Expected LPN Staffing Hours per Resident per Day
0.64875
Expected RN Staffing Hours per Resident per Day
1.24858
Expected Total Nurse Staffing Hours per Resident per Day
4.25459
Adjusted CNA Staffing Hours per Resident per Day
2.68324
Adjusted LPN Staffing Hours per Resident per Day
3.24821
Adjusted RN Staffing Hours per Resident per Day
0.75969
Adjusted Total Nurse Staffing Hours per Resident per Day
6.05035
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-02-14
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
26.40000
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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