Memorial City Health And Rehabilitation Center - Houston Nursing Home
General Information
UPDATEFederal Provider Number
676258
Provider Name
MEMORIAL CITY HEALTH AND REHABILITATION CENTER
Provider Address
1341 BLALOCK
HOUSTON, TX 77055
HOUSTON, TX 77055
Provider Phone Number
(713) 468-7821
Provider SSA County
610
Provider County Name
Harris
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
187
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC HARRIS VILLAGE LLC
Date First Approved to Provide Medicare and Medicaid services
2010-09-28
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
2.27034
Reported LPN Staffing Hours per Resident per Day
0.81949
Reported RN Staffing Hours per Resident per Day
0.64364
Reported Licensed Staffing Hours per Resident per Day
1.46314
Reported Total Nurse Staffing Hours per Resident per Day
3.73347
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09110
Expected CNA Staffing Hours per Resident per Day
2.56404
Expected LPN Staffing Hours per Resident per Day
0.65332
Expected RN Staffing Hours per Resident per Day
1.07242
Expected Total Nurse Staffing Hours per Resident per Day
4.28977
Adjusted CNA Staffing Hours per Resident per Day
2.17264
Adjusted LPN Staffing Hours per Resident per Day
1.04111
Adjusted RN Staffing Hours per Resident per Day
0.44845
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50817
Cycle 1 Total Number of Health Deficiencies
23
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
21
Cycle 1 Health Deficiency Score
160
Cycle 1 Standard Survey Health Date
2014-09-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
160
Cycle 2 Total Number of Health Deficiencies
24
Cycle 2 Number of Standard Health Deficiencies
22
Cycle 2 Number of Complaint Health Deficiencies
18
Cycle 2 Health Deficiency Score
160
Cycle 2 Standard Health Survey Date
2013-08-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
160
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
153.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
14
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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