Oak Grove Nursing Home - Groves Nursing Home
General Information
UPDATEFederal Provider Number
676122
Provider Name
OAK GROVE NURSING HOME
Provider Address
6230 WARREN ST
GROVES, TX 77619
GROVES, TX 77619
Provider Phone Number
(409) 963-1266
Provider SSA County
700
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
120
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RS GOLDEN TRIANGLE LLC
Date First Approved to Provide Medicare and Medicaid services
2006-10-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.26438
Reported LPN Staffing Hours per Resident per Day
0.81000
Reported RN Staffing Hours per Resident per Day
0.59313
Reported Licensed Staffing Hours per Resident per Day
1.40313
Reported Total Nurse Staffing Hours per Resident per Day
3.66751
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11313
Expected CNA Staffing Hours per Resident per Day
2.07080
Expected LPN Staffing Hours per Resident per Day
0.59155
Expected RN Staffing Hours per Resident per Day
0.98505
Expected Total Nurse Staffing Hours per Resident per Day
3.64740
Adjusted CNA Staffing Hours per Resident per Day
2.68307
Adjusted LPN Staffing Hours per Resident per Day
1.13651
Adjusted RN Staffing Hours per Resident per Day
0.44991
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05313
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2015-01-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-03-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2013-02-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
57.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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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