Monument Rehabilitation And Nursing Center - La Grange Nursing Home
General Information
UPDATEFederal Provider Number
455715
Provider Name
MONUMENT REHABILITATION AND NURSING CENTER
Provider Address
120 STATE LOOP 92
LA GRANGE, TX 78945
LA GRANGE, TX 78945
Provider Phone Number
(979) 968-3144
Provider SSA County
511
Provider County Name
Fayette
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINNIE STOWELL HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1987-09-11
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
1.91358
Reported LPN Staffing Hours per Resident per Day
0.67469
Reported RN Staffing Hours per Resident per Day
0.41420
Reported Licensed Staffing Hours per Resident per Day
1.08889
Reported Total Nurse Staffing Hours per Resident per Day
3.00247
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10926
Expected CNA Staffing Hours per Resident per Day
2.48908
Expected LPN Staffing Hours per Resident per Day
0.58756
Expected RN Staffing Hours per Resident per Day
0.99563
Expected Total Nurse Staffing Hours per Resident per Day
4.07228
Adjusted CNA Staffing Hours per Resident per Day
1.88638
Adjusted LPN Staffing Hours per Resident per Day
0.95307
Adjusted RN Staffing Hours per Resident per Day
0.31085
Adjusted Total Nurse Staffing Hours per Resident per Day
2.97196
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
624
Cycle 1 Standard Survey Health Date
2014-04-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
624
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-01-24
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
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-11-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
337.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
6700
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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