Summer Place Nursing & Rehabilitation - Beaumont Nursing Home
General Information
UPDATEFederal Provider Number
676210
Provider Name
SUMMER PLACE NURSING & REHABILITATION
Provider Address
2485 S MAJOR DR
BEAUMONT, TX 77707
BEAUMONT, TX 77707
Provider Phone Number
(409) 861-4611
Provider SSA County
700
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
124
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PM MANAGEMENT - GOLDEN TRIANGLE NC I LLC
Date First Approved to Provide Medicare and Medicaid services
2009-03-03
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.57258
Reported LPN Staffing Hours per Resident per Day
1.11492
Reported RN Staffing Hours per Resident per Day
0.43952
Reported Licensed Staffing Hours per Resident per Day
1.55444
Reported Total Nurse Staffing Hours per Resident per Day
4.12702
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10766
Expected CNA Staffing Hours per Resident per Day
2.31272
Expected LPN Staffing Hours per Resident per Day
0.69505
Expected RN Staffing Hours per Resident per Day
1.33897
Expected Total Nurse Staffing Hours per Resident per Day
4.34674
Adjusted CNA Staffing Hours per Resident per Day
2.72940
Adjusted LPN Staffing Hours per Resident per Day
1.33139
Adjusted RN Staffing Hours per Resident per Day
0.24527
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82714
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-11-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-11-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
66.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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