Lake Jackson Healthcare Center - Lake Jackson Nursing Home
General Information
UPDATEFederal Provider Number
455477
Provider Name
LAKE JACKSON HEALTHCARE CENTER
Provider Address
413 GARLAND DR
LAKE JACKSON, TX 77566
LAKE JACKSON, TX 77566
Provider Phone Number
(979) 297-3266
Provider SSA County
180
Provider County Name
Brazoria
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
120
Number of Residents in Certified Beds
64
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
1983-05-06
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
1
QM Rating Footnote
Staffing Rating
3
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
1.88906
Reported LPN Staffing Hours per Resident per Day
0.82578
Reported RN Staffing Hours per Resident per Day
0.59219
Reported Licensed Staffing Hours per Resident per Day
1.41797
Reported Total Nurse Staffing Hours per Resident per Day
3.30703
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02656
Expected CNA Staffing Hours per Resident per Day
1.85975
Expected LPN Staffing Hours per Resident per Day
0.57668
Expected RN Staffing Hours per Resident per Day
1.03774
Expected Total Nurse Staffing Hours per Resident per Day
3.47417
Adjusted CNA Staffing Hours per Resident per Day
2.49237
Adjusted LPN Staffing Hours per Resident per Day
1.18853
Adjusted RN Staffing Hours per Resident per Day
0.42639
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83697
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
136
Cycle 2 Standard Health Survey Date
2014-04-10
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
68
Cycle 2 Total Health Score
204
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2013-04-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
132.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
Number of Fines
1
Total Amount of Fines in Dollars
1983
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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