Park Manor Of The Woodlands - The Woodlands Nursing Home
General Information
UPDATEFederal Provider Number
676273
Provider Name
PARK MANOR OF THE WOODLANDS
Provider Address
1014 WINDSOR LAKE BOULEVARD
THE WOODLANDS, TX 77384
THE WOODLANDS, TX 77384
Provider Phone Number
(936) 273-9424
Provider SSA County
801
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
124
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HMG PARK MANOR OF THE WOODLANDS LLC
Date First Approved to Provide Medicare and Medicaid services
2011-02-17
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
4
QM Rating Footnote
Staffing Rating
2
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
1.95136
Reported LPN Staffing Hours per Resident per Day
0.71318
Reported RN Staffing Hours per Resident per Day
0.72955
Reported Licensed Staffing Hours per Resident per Day
1.44273
Reported Total Nurse Staffing Hours per Resident per Day
3.39409
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09500
Expected CNA Staffing Hours per Resident per Day
2.50080
Expected LPN Staffing Hours per Resident per Day
0.70127
Expected RN Staffing Hours per Resident per Day
1.33112
Expected Total Nurse Staffing Hours per Resident per Day
4.53319
Adjusted CNA Staffing Hours per Resident per Day
1.91461
Adjusted LPN Staffing Hours per Resident per Day
0.84410
Adjusted RN Staffing Hours per Resident per Day
0.40952
Adjusted Total Nurse Staffing Hours per Resident per Day
3.01801
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-03-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
12
Cycle 2 Health Deficiency Score
212
Cycle 2 Standard Health Survey Date
2013-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
212
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
136.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
15
Number of Fines
1
Total Amount of Fines in Dollars
2600
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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