Maison De'ville Nursing Home - Houma Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
195307
Provider Name
MAISON DE'VILLE NURSING HOME
Provider Address
107 SOUTH HOLLYWOOD DRIVE
HOUMA, LA 70360
HOUMA, LA 70360
Provider Phone Number
(985) 876-3250
Provider SSA County
540
Provider County Name
Terrebonne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
200
Number of Residents in Certified Beds
133
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAISON DE'VILLE NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1995-02-13
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
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
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
1.80226
Reported LPN Staffing Hours per Resident per Day
0.92707
Reported RN Staffing Hours per Resident per Day
0.40263
Reported Licensed Staffing Hours per Resident per Day
1.32970
Reported Total Nurse Staffing Hours per Resident per Day
3.13196
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07782
Expected CNA Staffing Hours per Resident per Day
2.48984
Expected LPN Staffing Hours per Resident per Day
0.60856
Expected RN Staffing Hours per Resident per Day
0.96590
Expected Total Nurse Staffing Hours per Resident per Day
4.06431
Adjusted CNA Staffing Hours per Resident per Day
1.77610
Adjusted LPN Staffing Hours per Resident per Day
1.26440
Adjusted RN Staffing Hours per Resident per Day
0.31146
Adjusted Total Nurse Staffing Hours per Resident per Day
3.10621
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2014-02-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
116
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2013-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
94.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
15210
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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