Willis Nursing And Rehabilitation Lp - Willis Nursing Home
General Information
UPDATEFederal Provider Number
675274
Provider Name
WILLIS NURSING AND REHABILITATION LP
Provider Address
3000 N DANVILLE ST
WILLIS, TX 77378
WILLIS, TX 77378
Provider Phone Number
9368564312
Provider SSA County
801
Provider County Name
Montgomery
Ownership Type
For profit - Partnership
Number of Certified Beds
114
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILLIS NURSING AND REHABILITATION LP
Date First Approved to Provide Medicare and Medicaid services
1994-02-02
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
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
1.83889
Reported LPN Staffing Hours per Resident per Day
0.39506
Reported RN Staffing Hours per Resident per Day
0.24012
Reported Licensed Staffing Hours per Resident per Day
0.63519
Reported Total Nurse Staffing Hours per Resident per Day
2.47407
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01420
Expected CNA Staffing Hours per Resident per Day
2.31582
Expected LPN Staffing Hours per Resident per Day
0.68150
Expected RN Staffing Hours per Resident per Day
1.15770
Expected Total Nurse Staffing Hours per Resident per Day
4.15501
Adjusted CNA Staffing Hours per Resident per Day
1.94838
Adjusted LPN Staffing Hours per Resident per Day
0.48115
Adjusted RN Staffing Hours per Resident per Day
0.15498
Adjusted Total Nurse Staffing Hours per Resident per Day
2.40017
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
44
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
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-06-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
5
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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