Park Manor Of Conroe - Conroe Nursing Home
General Information
UPDATEFederal Provider Number
675894
Provider Name
PARK MANOR OF CONROE
Provider Address
1600 GRAND LAKE DR
CONROE, TX 77301
CONROE, TX 77301
Provider Phone Number
(936) 441-8266
Provider SSA County
801
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
125
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HMG PARK MANOR OF CONROE, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
2001-12-05
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
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
2.16442
Reported LPN Staffing Hours per Resident per Day
1.09615
Reported RN Staffing Hours per Resident per Day
0.62115
Reported Licensed Staffing Hours per Resident per Day
1.71731
Reported Total Nurse Staffing Hours per Resident per Day
3.88172
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09760
Expected CNA Staffing Hours per Resident per Day
2.47589
Expected LPN Staffing Hours per Resident per Day
0.74043
Expected RN Staffing Hours per Resident per Day
1.32561
Expected Total Nurse Staffing Hours per Resident per Day
4.54192
Adjusted CNA Staffing Hours per Resident per Day
2.14503
Adjusted LPN Staffing Hours per Resident per Day
1.22875
Adjusted RN Staffing Hours per Resident per Day
0.35012
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44498
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
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
2013-11-22
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
11
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
56.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
Number of Fines
2
Total Amount of Fines in Dollars
2536
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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