Arbor Terrace Healthcare Center - San Angelo Nursing Home
General Information
UPDATEFederal Provider Number
675932
Provider Name
ARBOR TERRACE HEALTHCARE CENTER
Provider Address
609 RIO CONCHO DR
SAN ANGELO, TX 76903
SAN ANGELO, TX 76903
Provider Phone Number
(325) 653-1266
Provider SSA County
930
Provider County Name
Tom Green
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
144
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2002-10-01
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
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.24097
Reported LPN Staffing Hours per Resident per Day
0.73681
Reported RN Staffing Hours per Resident per Day
0.78333
Reported Licensed Staffing Hours per Resident per Day
1.52014
Reported Total Nurse Staffing Hours per Resident per Day
3.76111
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08333
Expected CNA Staffing Hours per Resident per Day
2.31548
Expected LPN Staffing Hours per Resident per Day
0.64256
Expected RN Staffing Hours per Resident per Day
1.04294
Expected Total Nurse Staffing Hours per Resident per Day
4.00098
Adjusted CNA Staffing Hours per Resident per Day
2.37475
Adjusted LPN Staffing Hours per Resident per Day
0.95174
Adjusted RN Staffing Hours per Resident per Day
0.56121
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78924
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
539
Cycle 1 Standard Survey Health Date
2015-01-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
539
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
16
Cycle 2 Health Deficiency Score
845
Cycle 2 Standard Health Survey Date
2014-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
845
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
12
Cycle 3 Health Deficiency Score
144
Cycle 3 Standard Health Survey Date
2013-03-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
144
Total Weighted Health Survey Score
575.16700
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
26
Number of Fines
1
Total Amount of Fines in Dollars
74685
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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