Park Manor Of Cypress Station - Houston Nursing Home
General Information
UPDATEFederal Provider Number
675986
Provider Name
PARK MANOR OF CYPRESS STATION
Provider Address
420 LANTERN BEND DR
HOUSTON, TX 77090
HOUSTON, TX 77090
Provider Phone Number
(832) 249-6500
Provider SSA County
610
Provider County Name
Harris
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
125
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HMG PARK MANOR OF CYPRESS STATION, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
2003-07-03
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
1
Overall Rating Footnote
Health Inspection Rating
1
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
2.07222
Reported LPN Staffing Hours per Resident per Day
1.05802
Reported RN Staffing Hours per Resident per Day
0.72284
Reported Licensed Staffing Hours per Resident per Day
1.78086
Reported Total Nurse Staffing Hours per Resident per Day
3.85308
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06975
Expected CNA Staffing Hours per Resident per Day
2.31002
Expected LPN Staffing Hours per Resident per Day
0.71412
Expected RN Staffing Hours per Resident per Day
1.28188
Expected Total Nurse Staffing Hours per Resident per Day
4.30601
Adjusted CNA Staffing Hours per Resident per Day
2.20111
Adjusted LPN Staffing Hours per Resident per Day
1.22971
Adjusted RN Staffing Hours per Resident per Day
0.42134
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60690
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
14
Cycle 2 Health Deficiency Score
563
Cycle 2 Standard Health Survey Date
2014-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
563
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-02-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
225.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
23
Number of Fines
1
Total Amount of Fines in Dollars
37440
Number of Payment Denials
2
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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