Mrc Creekside - Huntsville Nursing Home
General Information
UPDATEFederal Provider Number
675964
Provider Name
MRC CREEKSIDE
Provider Address
1433 VETERANS MEMORIAL PARKWAY
HUNTSVILLE, TX 77340
HUNTSVILLE, TX 77340
Provider Phone Number
(936) 295-0216
Provider SSA County
949
Provider County Name
Walker
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2003-04-03
Continuing Care Retirement Community
Y
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
2
Health Inspection Rating Footnote
QM Rating
2
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
2.46328
Reported LPN Staffing Hours per Resident per Day
0.90859
Reported RN Staffing Hours per Resident per Day
0.48672
Reported Licensed Staffing Hours per Resident per Day
1.39531
Reported Total Nurse Staffing Hours per Resident per Day
3.85859
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09453
Expected CNA Staffing Hours per Resident per Day
2.59195
Expected LPN Staffing Hours per Resident per Day
0.72843
Expected RN Staffing Hours per Resident per Day
1.21149
Expected Total Nurse Staffing Hours per Resident per Day
4.53186
Adjusted CNA Staffing Hours per Resident per Day
2.33190
Adjusted LPN Staffing Hours per Resident per Day
1.03528
Adjusted RN Staffing Hours per Resident per Day
0.30019
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43205
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
140
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
140
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2014-05-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-04-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
110.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
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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