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Fort Stockton Living & Rehabilitation - Fort Stockton Nursing Home

General Information

UPDATE
Federal Provider Number
675722
Provider Name
FORT STOCKTON LIVING & REHABILITATION
Provider Address
501 N SYCAMORE
FORT STOCKTON, TX 79735
Provider Phone Number
4323367631
Provider SSA County
845
Provider County Name
Pecos
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FORT STOCKTON NURSING OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1997-09-15
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
1.79805
Reported LPN Staffing Hours per Resident per Day
1.09545
Reported RN Staffing Hours per Resident per Day
0.19740
Reported Licensed Staffing Hours per Resident per Day
1.29286
Reported Total Nurse Staffing Hours per Resident per Day
3.09090
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10195
Expected CNA Staffing Hours per Resident per Day
2.25384
Expected LPN Staffing Hours per Resident per Day
0.65692
Expected RN Staffing Hours per Resident per Day
1.17859
Expected Total Nurse Staffing Hours per Resident per Day
4.08935
Adjusted CNA Staffing Hours per Resident per Day
1.95749
Adjusted LPN Staffing Hours per Resident per Day
1.38407
Adjusted RN Staffing Hours per Resident per Day
0.12515
Adjusted Total Nurse Staffing Hours per Resident per Day
3.04672
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-03-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-01-11
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
12
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2011-12-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
104.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
Number of Fines
3
Total Amount of Fines in Dollars
31720
Number of Payment Denials
1
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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