Provider Name: THE METHODIST HOSPITAL SNF
Address: 6565 FANNIN, HOUSTON, TX 77030
Phone: (713) 441-7828
County: Harris (610)
Ownership Type: Non profit - Church related
Certified Beds: 25
Average Residents Per Day: 16.3 ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: THE METHODIST HOSPITAL
First Approved Date: August 5, 1994
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: None
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: (2)
Short Stay QM Rating: 5 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 3.91821, LPN Staff Hours Per Day: 0.0000, RN Staff Hours Per Day: 7.6047, Licensed Staff Hours Per Day: 7.6047
Total Nurse Staff Hours Per Day, per resident: 11.5229
Weekend Nurse Staff Hours: 10.2238, Weekend RN Staff Hours: 6.3118
PT Staff Hours Per Day, per resident: 0.7169
Nurse Staff Turnover: 20.9, Nurse Turnover Note:
RN Turnover: 20.7, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.8944, Case Mix LPN Hours Per Day: 0.8600, Case Mix RN Hours Per Day: 0.5179
Adjusted Nurse Aide Hours Per Day, per resident: 4.21351, Adjusted LPN Hours Per Day: 0.0000, Adjusted RN Hours Per Day: 5.5322
Total Adjusted Nurse Hours Per Day, per resident: 11.0989
Adjusted Weekend Nurse Hours Per Day, per resident: 9.84764
Health Survey Dates and Scores: Cycle 1: 2023-06-09 (Score: 8), Cycle 2: 2022-04-27 (Score: 0), Cycle 3: 2019-10-18 (Score: 24)
Total Weighted Health Score: 8.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 6565 FANNIN,HOUSTON,TX,77030 (29.7113, -95.400)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-06-10
Type: Health, Deficiency: Ensure medication error rates are not 5 percent or greater.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-06-30
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-12-13
Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-12-13
Type: Health, Deficiency: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-12-13
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-12-13
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0324, Version: New
Description: Provide properly protected cooking facilities.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-06-29
Type: Fire Safety, Tag: 0345, Version: New
Description: Have approved installation, maintenance and testing program for fire alarm systems.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-10-17
Type: Fire Safety, Tag: 0363, Version: New
Description: Install corridor and hallway doors that block smoke.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-10-17