Houston County Nursing Home - Crockett Nursing Home
General Information
UPDATEFederal Provider Number
676043
Provider Name
HOUSTON COUNTY NURSING HOME
Provider Address
100 N E LOOP 304
CROCKETT, TX 75835
CROCKETT, TX 75835
Provider Phone Number
(936) 544-7884
Provider SSA County
660
Provider County Name
Houston
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CROCKETT HEALTH CARE ASSOCIATES, INC.
Date First Approved to Provide Medicare and Medicaid services
2005-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.18923
Reported LPN Staffing Hours per Resident per Day
0.70846
Reported RN Staffing Hours per Resident per Day
0.49538
Reported Licensed Staffing Hours per Resident per Day
1.20385
Reported Total Nurse Staffing Hours per Resident per Day
2.39307
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00231
Expected CNA Staffing Hours per Resident per Day
2.36882
Expected LPN Staffing Hours per Resident per Day
0.56005
Expected RN Staffing Hours per Resident per Day
0.81986
Expected Total Nurse Staffing Hours per Resident per Day
3.74874
Adjusted CNA Staffing Hours per Resident per Day
1.23184
Adjusted LPN Staffing Hours per Resident per Day
1.04994
Adjusted RN Staffing Hours per Resident per Day
0.45147
Adjusted Total Nurse Staffing Hours per Resident per Day
2.57319
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-06-25
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-07-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-06-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
0
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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