Magnolia Manor - Groves Nursing Home
General Information
UPDATEFederal Provider Number
455538
Provider Name
MAGNOLIA MANOR
Provider Address
4400 GULF ST
GROVES, TX 77619
GROVES, TX 77619
Provider Phone Number
(409) 962-5785
Provider SSA County
700
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
138
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CRESTHAVEN HEALTH CARE CENTER LTD CO
Date First Approved to Provide Medicare and Medicaid services
1985-07-10
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.76389
Reported LPN Staffing Hours per Resident per Day
1.62222
Reported RN Staffing Hours per Resident per Day
0.52917
Reported Licensed Staffing Hours per Resident per Day
2.15139
Reported Total Nurse Staffing Hours per Resident per Day
3.91528
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05278
Expected CNA Staffing Hours per Resident per Day
2.55245
Expected LPN Staffing Hours per Resident per Day
0.75594
Expected RN Staffing Hours per Resident per Day
1.19953
Expected Total Nurse Staffing Hours per Resident per Day
4.50792
Adjusted CNA Staffing Hours per Resident per Day
1.69565
Adjusted LPN Staffing Hours per Resident per Day
1.78115
Adjusted RN Staffing Hours per Resident per Day
0.32963
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50098
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2015-01-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-02-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-04-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
63.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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