Willowbrook Nursing Center - Nacogdoches Nursing Home
General Information
UPDATEFederal Provider Number
455700
Provider Name
WILLOWBROOK NURSING CENTER
Provider Address
227 RUSSELL BLVD
NACOGDOCHES, TX 75965
NACOGDOCHES, TX 75965
Provider Phone Number
(936) 564-4596
Provider SSA County
810
Provider County Name
Nacogdoches
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
166
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NACOGDOCHES CSNHC ENTERPRISES, LLC
Date First Approved to Provide Medicare and Medicaid services
1987-04-28
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.65440
Reported LPN Staffing Hours per Resident per Day
0.82033
Reported RN Staffing Hours per Resident per Day
0.66538
Reported Licensed Staffing Hours per Resident per Day
1.48571
Reported Total Nurse Staffing Hours per Resident per Day
4.14011
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00769
Expected CNA Staffing Hours per Resident per Day
2.48153
Expected LPN Staffing Hours per Resident per Day
0.70309
Expected RN Staffing Hours per Resident per Day
1.28762
Expected Total Nurse Staffing Hours per Resident per Day
4.47224
Adjusted CNA Staffing Hours per Resident per Day
2.62463
Adjusted LPN Staffing Hours per Resident per Day
0.96841
Adjusted RN Staffing Hours per Resident per Day
0.38612
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73154
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
120
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
120
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-11-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
112
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
108.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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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