Hermann Hospital - Houston Nursing Home
General Information
UPDATEFederal Provider Number
455981
Provider Name
HERMANN HOSPITAL
Provider Address
6411 FANNIN
HOUSTON, TX 77030
HOUSTON, TX 77030
Provider Phone Number
(713) 704-6090
Provider SSA County
610
Provider County Name
Harris
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
9
Number of Residents in Certified Beds
7
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
MEMORIAL HERMANN HEALTH SYSTEM
Date First Approved to Provide Medicare and Medicaid services
1992-01-24
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
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
1.47143
Reported LPN Staffing Hours per Resident per Day
0.24286
Reported RN Staffing Hours per Resident per Day
4.69286
Reported Licensed Staffing Hours per Resident per Day
4.93571
Reported Total Nurse Staffing Hours per Resident per Day
6.40715
Reported Physical Therapist Staffing Hours per Resident Per Day
0.40714
Expected CNA Staffing Hours per Resident per Day
2.17333
Expected LPN Staffing Hours per Resident per Day
0.69500
Expected RN Staffing Hours per Resident per Day
1.52833
Expected Total Nurse Staffing Hours per Resident per Day
4.39667
Adjusted CNA Staffing Hours per Resident per Day
1.66125
Adjusted LPN Staffing Hours per Resident per Day
0.29003
Adjusted RN Staffing Hours per Resident per Day
2.29433
Adjusted Total Nurse Staffing Hours per Resident per Day
5.87413
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-10-15
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-10-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-10-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
5.33300
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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