Oak Village Healthcare - Lake Jackson Nursing Home
General Information
UPDATEFederal Provider Number
676307
Provider Name
OAK VILLAGE HEALTHCARE
Provider Address
204 OAK DRIVE SOUTH
LAKE JACKSON, TX 77566
LAKE JACKSON, TX 77566
Provider Phone Number
(979) 297-0425
Provider SSA County
180
Provider County Name
Brazoria
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNSET NURSING HOME INC.
Date First Approved to Provide Medicare and Medicaid services
2012-03-21
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
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.75000
Reported LPN Staffing Hours per Resident per Day
1.69634
Reported RN Staffing Hours per Resident per Day
0.85732
Reported Licensed Staffing Hours per Resident per Day
2.55366
Reported Total Nurse Staffing Hours per Resident per Day
6.30366
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08537
Expected CNA Staffing Hours per Resident per Day
2.43566
Expected LPN Staffing Hours per Resident per Day
0.66747
Expected RN Staffing Hours per Resident per Day
1.13916
Expected Total Nurse Staffing Hours per Resident per Day
4.24230
Adjusted CNA Staffing Hours per Resident per Day
3.77777
Adjusted LPN Staffing Hours per Resident per Day
2.10939
Adjusted RN Staffing Hours per Resident per Day
0.56234
Adjusted Total Nurse Staffing Hours per Resident per Day
5.98955
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
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
20
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-03-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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