Menard Manor - Menard Nursing Home
General Information
UPDATEFederal Provider Number
676020
Provider Name
MENARD MANOR
Provider Address
100 GAY ST
MENARD, TX 76859
MENARD, TX 76859
Provider Phone Number
3253964515
Provider SSA County
793
Provider County Name
Menard
Ownership Type
Government - Hospital district
Number of Certified Beds
40
Number of Residents in Certified Beds
25
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MENARD MANOR NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
2004-01-15
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.38800
Reported LPN Staffing Hours per Resident per Day
1.12800
Reported RN Staffing Hours per Resident per Day
1.05600
Reported Licensed Staffing Hours per Resident per Day
2.18400
Reported Total Nurse Staffing Hours per Resident per Day
4.57200
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.53889
Expected LPN Staffing Hours per Resident per Day
0.65629
Expected RN Staffing Hours per Resident per Day
0.97018
Expected Total Nurse Staffing Hours per Resident per Day
4.16536
Adjusted CNA Staffing Hours per Resident per Day
2.30787
Adjusted LPN Staffing Hours per Resident per Day
1.42657
Adjusted RN Staffing Hours per Resident per Day
0.81329
Adjusted Total Nurse Staffing Hours per Resident per Day
4.42441
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-11-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-10-24
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
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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