Park Manor Of Cyfair - Houston Nursing Home
General Information
UPDATEFederal Provider Number
675818
Provider Name
PARK MANOR OF CYFAIR
Provider Address
11001 CRESCENT MOON DR
HOUSTON, TX 77064
HOUSTON, TX 77064
Provider Phone Number
2814778877
Provider SSA County
610
Provider County Name
Harris
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HMG PARK MANOR OF CYFAIR, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
2000-01-10
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.64650
Reported LPN Staffing Hours per Resident per Day
1.09150
Reported RN Staffing Hours per Resident per Day
0.71100
Reported Licensed Staffing Hours per Resident per Day
1.80250
Reported Total Nurse Staffing Hours per Resident per Day
4.44900
Reported Physical Therapist Staffing Hours per Resident Per Day
0.38450
Expected CNA Staffing Hours per Resident per Day
2.44815
Expected LPN Staffing Hours per Resident per Day
0.76275
Expected RN Staffing Hours per Resident per Day
1.32720
Expected Total Nurse Staffing Hours per Resident per Day
4.53809
Adjusted CNA Staffing Hours per Resident per Day
2.65250
Adjusted LPN Staffing Hours per Resident per Day
1.18774
Adjusted RN Staffing Hours per Resident per Day
0.40029
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95177
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
136
Cycle 1 Standard Survey Health Date
2015-03-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
136
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
136
Cycle 2 Standard Health Survey Date
2014-04-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2013-04-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
126.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
24
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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