Fallbrook Nursing & Rehabilitation - Houston Nursing Home
General Information
UPDATEFederal Provider Number
676252
Provider Name
FALLBROOK NURSING & REHABILITATION
Provider Address
1424 FALLBROOK DRIVE
HOUSTON, TX 77038
HOUSTON, TX 77038
Provider Phone Number
2818200566
Provider SSA County
610
Provider County Name
Harris
Ownership Type
For profit - Individual
Number of Certified Beds
120
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
T&M GERIATRIC REHABILITATION, LLC
Date First Approved to Provide Medicare and Medicaid services
2010-06-25
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
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
3.20000
Reported LPN Staffing Hours per Resident per Day
1.29533
Reported RN Staffing Hours per Resident per Day
0.38067
Reported Licensed Staffing Hours per Resident per Day
1.67600
Reported Total Nurse Staffing Hours per Resident per Day
4.87600
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08867
Expected CNA Staffing Hours per Resident per Day
2.45317
Expected LPN Staffing Hours per Resident per Day
0.65860
Expected RN Staffing Hours per Resident per Day
1.26765
Expected Total Nurse Staffing Hours per Resident per Day
4.37942
Adjusted CNA Staffing Hours per Resident per Day
3.20070
Adjusted LPN Staffing Hours per Resident per Day
1.63244
Adjusted RN Staffing Hours per Resident per Day
0.22438
Adjusted Total Nurse Staffing Hours per Resident per Day
4.48796
Cycle 1 Total Number of Health Deficiencies
40
Cycle 1 Number of Standard Health Deficiencies
24
Cycle 1 Number of Complaint Health Deficiencies
16
Cycle 1 Health Deficiency Score
649
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
649
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
15
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-07-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
24
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
22
Cycle 3 Health Deficiency Score
357
Cycle 3 Standard Health Survey Date
2012-08-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
357
Total Weighted Health Survey Score
417.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
37
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
2
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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