Mi Casita Ltc Partners Inc - Lubbock Nursing Home
General Information
UPDATEFederal Provider Number
675842
Provider Name
MI CASITA LTC PARTNERS INC
Provider Address
2400 QUAKER AVE
LUBBOCK, TX 79410
LUBBOCK, TX 79410
Provider Phone Number
8067922831
Provider SSA County
770
Provider County Name
Lubbock
Ownership Type
For profit - Partnership
Number of Certified Beds
95
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MI CASITA LTC PARTNERS, INC.
Date First Approved to Provide Medicare and Medicaid services
2000-08-24
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2
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
2.25071
Reported LPN Staffing Hours per Resident per Day
0.65643
Reported RN Staffing Hours per Resident per Day
0.36500
Reported Licensed Staffing Hours per Resident per Day
1.02143
Reported Total Nurse Staffing Hours per Resident per Day
3.27214
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00214
Expected CNA Staffing Hours per Resident per Day
2.23524
Expected LPN Staffing Hours per Resident per Day
0.71062
Expected RN Staffing Hours per Resident per Day
1.24564
Expected Total Nurse Staffing Hours per Resident per Day
4.19150
Adjusted CNA Staffing Hours per Resident per Day
2.47069
Adjusted LPN Staffing Hours per Resident per Day
0.76670
Adjusted RN Staffing Hours per Resident per Day
0.21895
Adjusted Total Nurse Staffing Hours per Resident per Day
3.14676
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2015-01-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2014-03-14
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
18
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
156
Cycle 3 Standard Health Survey Date
2013-02-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
156
Total Weighted Health Survey Score
94.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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