Park Manor Of Westchase - Houston Nursing Home
General Information
UPDATEFederal Provider Number
676059
Provider Name
PARK MANOR OF WESTCHASE
Provider Address
11910 RICHMOND AVE
HOUSTON, TX 77082
HOUSTON, TX 77082
Provider Phone Number
(281) 497-2838
Provider SSA County
610
Provider County Name
Harris
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
125
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HMG PARK MANOR OF WESTCHASE, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
2005-08-09
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
2
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
1.39639
Reported LPN Staffing Hours per Resident per Day
1.20619
Reported RN Staffing Hours per Resident per Day
0.77165
Reported Licensed Staffing Hours per Resident per Day
1.97784
Reported Total Nurse Staffing Hours per Resident per Day
3.37423
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05876
Expected CNA Staffing Hours per Resident per Day
2.45236
Expected LPN Staffing Hours per Resident per Day
0.71431
Expected RN Staffing Hours per Resident per Day
1.33174
Expected Total Nurse Staffing Hours per Resident per Day
4.49842
Adjusted CNA Staffing Hours per Resident per Day
1.39715
Adjusted LPN Staffing Hours per Resident per Day
1.40154
Adjusted RN Staffing Hours per Resident per Day
0.43295
Adjusted Total Nurse Staffing Hours per Resident per Day
3.02355
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
84
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
84
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
12
Cycle 2 Health Deficiency Score
714
Cycle 2 Standard Health Survey Date
2014-03-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
714
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2013-02-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
296.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
11
Number of Fines
4
Total Amount of Fines in Dollars
10000
Number of Payment Denials
1
Total Number of Penalties
5
Location
Processing Date
2015-06-01
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