Woodlake Nursing Home - Clute Nursing Home
General Information
UPDATEFederal Provider Number
675234
Provider Name
WOODLAKE NURSING HOME
Provider Address
603 E PLANTATION RD
CLUTE, TX 77531
CLUTE, TX 77531
Provider Phone Number
(979) 265-4221
Provider SSA County
180
Provider County Name
Brazoria
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
93
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOODLAKE NURSING HOME, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-11-01
Continuing Care Retirement Community
N
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
2
Overall Rating Footnote
Health Inspection Rating
3
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
1.96475
Reported LPN Staffing Hours per Resident per Day
0.83279
Reported RN Staffing Hours per Resident per Day
0.75082
Reported Licensed Staffing Hours per Resident per Day
1.58361
Reported Total Nurse Staffing Hours per Resident per Day
3.54836
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12869
Expected CNA Staffing Hours per Resident per Day
2.31316
Expected LPN Staffing Hours per Resident per Day
0.66792
Expected RN Staffing Hours per Resident per Day
1.13339
Expected Total Nurse Staffing Hours per Resident per Day
4.11447
Adjusted CNA Staffing Hours per Resident per Day
2.08412
Adjusted LPN Staffing Hours per Resident per Day
1.03487
Adjusted RN Staffing Hours per Resident per Day
0.49499
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47628
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
46.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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