Woodland Park - Shepherd Nursing Home

General Information

UPDATE
Federal Provider Number
675484
Provider Name
WOODLAND PARK
Provider Address
101 WOODLAND PARK DR
SHEPHERD, TX 77371
Provider Phone Number
9366283388
Provider SSA County
884
Provider County Name
San Jacinto
Ownership Type
For profit - Partnership
Number of Certified Beds
100
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1995-05-09
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
3
Health Inspection Rating Footnote
QM Rating
5
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
2.01136
Reported LPN Staffing Hours per Resident per Day
0.90076
Reported RN Staffing Hours per Resident per Day
0.31970
Reported Licensed Staffing Hours per Resident per Day
1.22045
Reported Total Nurse Staffing Hours per Resident per Day
3.23182
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.28085
Expected LPN Staffing Hours per Resident per Day
0.65105
Expected RN Staffing Hours per Resident per Day
0.99212
Expected Total Nurse Staffing Hours per Resident per Day
3.92402
Adjusted CNA Staffing Hours per Resident per Day
2.16378
Adjusted LPN Staffing Hours per Resident per Day
1.14834
Adjusted RN Staffing Hours per Resident per Day
0.24078
Adjusted Total Nurse Staffing Hours per Resident per Day
3.31984
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-10-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-12-04
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-11-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
70.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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