Montebello Wellness Center - Houston Nursing Home
General Information
UPDATEFederal Provider Number
675249
Provider Name
MONTEBELLO WELLNESS CENTER
Provider Address
12350 WOOD BAYOU DR
HOUSTON, TX 77013
HOUSTON, TX 77013
Provider Phone Number
(713) 453-0446
Provider SSA County
610
Provider County Name
Harris
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
142
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARKET BAYOU HEALTHCARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1993-12-29
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
4
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
2.87312
Reported LPN Staffing Hours per Resident per Day
1.15806
Reported RN Staffing Hours per Resident per Day
0.68441
Reported Licensed Staffing Hours per Resident per Day
1.84247
Reported Total Nurse Staffing Hours per Resident per Day
4.71559
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11452
Expected CNA Staffing Hours per Resident per Day
2.59550
Expected LPN Staffing Hours per Resident per Day
0.69246
Expected RN Staffing Hours per Resident per Day
1.13789
Expected Total Nurse Staffing Hours per Resident per Day
4.42586
Adjusted CNA Staffing Hours per Resident per Day
2.71615
Adjusted LPN Staffing Hours per Resident per Day
1.38807
Adjusted RN Staffing Hours per Resident per Day
0.44942
Adjusted Total Nurse Staffing Hours per Resident per Day
4.29478
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
731
Cycle 2 Standard Health Survey Date
2014-08-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
731
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-06-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
259.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
8
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
3
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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