Monarch Pavilion Rehabilitation Suites - Dallas Nursing Home
General Information
UPDATEFederal Provider Number
676293
Provider Name
MONARCH PAVILION REHABILITATION SUITES
Provider Address
6825 HARRY HINES BLVD
DALLAS, TX 75235
DALLAS, TX 75235
Provider Phone Number
2148456200
Provider SSA County
390
Provider County Name
Dallas
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THI OF SOUTH CAROLINA AT HILLTOP LLC
Date First Approved to Provide Medicare and Medicaid services
2011-09-13
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
2.49000
Reported LPN Staffing Hours per Resident per Day
1.15882
Reported RN Staffing Hours per Resident per Day
0.46000
Reported Licensed Staffing Hours per Resident per Day
1.61882
Reported Total Nurse Staffing Hours per Resident per Day
4.10882
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11529
Expected CNA Staffing Hours per Resident per Day
2.40437
Expected LPN Staffing Hours per Resident per Day
0.78096
Expected RN Staffing Hours per Resident per Day
1.33547
Expected Total Nurse Staffing Hours per Resident per Day
4.52080
Adjusted CNA Staffing Hours per Resident per Day
2.54109
Adjusted LPN Staffing Hours per Resident per Day
1.23159
Adjusted RN Staffing Hours per Resident per Day
0.25737
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66357
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
579
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
579
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-11-15
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
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-10-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
312.83300
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
9
Number of Fines
1
Total Amount of Fines in Dollars
11635
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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