The Forum At Memorial Woods Healthcare Center - Houston Nursing Home
General Information
UPDATEFederal Provider Number
455854
Provider Name
THE FORUM AT MEMORIAL WOODS HEALTHCARE CENTER
Provider Address
777 N POST OAK RD
HOUSTON, TX 77024
HOUSTON, TX 77024
Provider Phone Number
(713) 956-6407
Provider SSA County
610
Provider County Name
Harris
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
93
Number of Residents in Certified Beds
56
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
FIVE STAR MEMORIAL WOODS LLC
Date First Approved to Provide Medicare and Medicaid services
1989-12-07
Continuing Care Retirement Community
Y
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
3.39554
Reported LPN Staffing Hours per Resident per Day
1.78571
Reported RN Staffing Hours per Resident per Day
1.01964
Reported Licensed Staffing Hours per Resident per Day
2.80536
Reported Total Nurse Staffing Hours per Resident per Day
6.20089
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25536
Expected CNA Staffing Hours per Resident per Day
2.34857
Expected LPN Staffing Hours per Resident per Day
0.63737
Expected RN Staffing Hours per Resident per Day
1.19422
Expected Total Nurse Staffing Hours per Resident per Day
4.18015
Adjusted CNA Staffing Hours per Resident per Day
3.54754
Adjusted LPN Staffing Hours per Resident per Day
2.32540
Adjusted RN Staffing Hours per Resident per Day
0.63797
Adjusted Total Nurse Staffing Hours per Resident per Day
5.97948
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
124
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
124
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
20
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
168
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
168
Total Weighted Health Survey Score
87.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
2500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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