Windsong Village Convalescent Center Inc - Pearland Nursing Home
General Information
UPDATEFederal Provider Number
675557
Provider Name
WINDSONG VILLAGE CONVALESCENT CENTER INC
Provider Address
3400 E WALNUT
PEARLAND, TX 77581
PEARLAND, TX 77581
Provider Phone Number
(281) 485-2776
Provider SSA County
180
Provider County Name
Brazoria
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
138
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PEARLAND CONVALESCENT CENTER
Date First Approved to Provide Medicare and Medicaid services
1995-11-20
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
3.08438
Reported LPN Staffing Hours per Resident per Day
0.76920
Reported RN Staffing Hours per Resident per Day
0.82589
Reported Licensed Staffing Hours per Resident per Day
1.59509
Reported Total Nurse Staffing Hours per Resident per Day
4.67947
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04777
Expected CNA Staffing Hours per Resident per Day
2.50521
Expected LPN Staffing Hours per Resident per Day
0.65576
Expected RN Staffing Hours per Resident per Day
1.01669
Expected Total Nurse Staffing Hours per Resident per Day
4.17766
Adjusted CNA Staffing Hours per Resident per Day
3.02097
Adjusted LPN Staffing Hours per Resident per Day
0.97358
Adjusted RN Staffing Hours per Resident per Day
0.60697
Adjusted Total Nurse Staffing Hours per Resident per Day
4.51508
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-10-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-09-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-10-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
0
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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