Park Manor Of South Belt - Houston Nursing Home
General Information
UPDATEFederal Provider Number
675819
Provider Name
PARK MANOR OF SOUTH BELT
Provider Address
11902 RESOURCE PKWY
HOUSTON, TX 77089
HOUSTON, TX 77089
Provider Phone Number
2819226802
Provider SSA County
610
Provider County Name
Harris
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HMG PARK MANOR OF SOUTHBELT, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
2000-01-07
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
2.13883
Reported LPN Staffing Hours per Resident per Day
0.40388
Reported RN Staffing Hours per Resident per Day
1.13786
Reported Licensed Staffing Hours per Resident per Day
1.54175
Reported Total Nurse Staffing Hours per Resident per Day
3.68057
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06311
Expected CNA Staffing Hours per Resident per Day
2.42689
Expected LPN Staffing Hours per Resident per Day
0.73920
Expected RN Staffing Hours per Resident per Day
1.48524
Expected Total Nurse Staffing Hours per Resident per Day
4.65133
Adjusted CNA Staffing Hours per Resident per Day
2.16246
Adjusted LPN Staffing Hours per Resident per Day
0.45349
Adjusted RN Staffing Hours per Resident per Day
0.57244
Adjusted Total Nurse Staffing Hours per Resident per Day
3.18963
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
20
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
511
Cycle 1 Standard Survey Health Date
2014-06-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
511
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-06-27
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
13
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
300.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
33638
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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