Jefferson Nursing And Rehabilitation Center - Beaumont Nursing Home
General Information
UPDATEFederal Provider Number
676218
Provider Name
JEFFERSON NURSING AND REHABILITATION CENTER
Provider Address
3840 POINTE PARKWAY
BEAUMONT, TX 77706
BEAUMONT, TX 77706
Provider Phone Number
(409) 892-6811
Provider SSA County
700
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2009-03-18
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
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
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
2.04000
Reported LPN Staffing Hours per Resident per Day
0.91353
Reported RN Staffing Hours per Resident per Day
0.44765
Reported Licensed Staffing Hours per Resident per Day
1.36118
Reported Total Nurse Staffing Hours per Resident per Day
3.40118
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09059
Expected CNA Staffing Hours per Resident per Day
2.38924
Expected LPN Staffing Hours per Resident per Day
0.68361
Expected RN Staffing Hours per Resident per Day
1.26605
Expected Total Nurse Staffing Hours per Resident per Day
4.33890
Adjusted CNA Staffing Hours per Resident per Day
2.09504
Adjusted LPN Staffing Hours per Resident per Day
1.10916
Adjusted RN Staffing Hours per Resident per Day
0.26419
Adjusted Total Nurse Staffing Hours per Resident per Day
3.15975
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
60
Cycle 1 Standard Survey Health Date
2014-10-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2013-11-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
120
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-12-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
74.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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