Contact Information

LEGEND OAKS HEALTHCARE AND REHABILITATION - NORTH/
LIBERTY COUNTY HOSPITAL DISTRICT NO 1
12921 MISTY WILLOW DR
HOUSTON, TX 77070
(281) 469-7881
Government - Hospital district
Medicare certification date2: April 21, 2010
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  84 residents

  124 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 41
Facility reported incidents 4
Number of fines 6
Number of penalties 9
Number of payment denials 3

Staffing

Staffing for 84 residents Texas Average National Average
Hours by Registered Nurse (RN) per resident per day 13 minutes 22 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 1 hour, 15 minutes 1 hour, 2 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 2 minutes 2 hours, 1 minute 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 8 minutes 5 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

OFFICER

  • STRATTON, CHARLES

OPERATIONAL/MANAGERIAL CONTROL

  • MISTY WILLOW HEALTHCARE, INC.
  • FITZGERALD, TAMI

Nursing Home Report

In 2016, LEGEND OAKS HEALTHCARE AND REHABILITATION - NORTH/ charged a total of $1,680,897 for 73 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 73.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 22% Alzheimer's 67%
Asthma 36% Cancer 8%
Congestive Heart Failure n/a Kidney Disease n/a
COPD 38% Depression 40%
Diabetes 60% Hyperlipidemia 58%
Hypertension n/a Ischemic Heart Disease 70%
Osteoporosis 7% RA / OA 44%
Schizophrenia 18% Stroke 27%
Demographics
Medicare Beneficiaries 73 Average Age 73
Male 34 Female 39
White 27
Black 31
Asian n/a
Hispanic 11
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Jul 13, 2018; fire safety inspection: Jul 10, 2018

Health Deficiencies as of 07/13/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 3
Resident Assessment and Care Planning None
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies None
Pharmacy Service 2
Environmental Deficiencies 1
Administration Deficiencies None
Fire Deficiencies as of 07/10/2018
Emergency Preparedness 1
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies 2
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies None
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems 1
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also