Arlington Heights Health And Rehabilitation Center - Fort Worth Nursing Home
General Information
UPDATEFederal Provider Number
455819
Provider Name
ARLINGTON HEIGHTS HEALTH AND REHABILITATION CENTER
Provider Address
4825 WELLESLEY ST
FORT WORTH, TX 76107
FORT WORTH, TX 76107
Provider Phone Number
(817) 732-6608
Provider SSA County
910
Provider County Name
Tarrant
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC FORT WORTH NURSING & REHABILITATION CENTER OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1989-06-01
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
2
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
1.83706
Reported LPN Staffing Hours per Resident per Day
1.04471
Reported RN Staffing Hours per Resident per Day
0.24529
Reported Licensed Staffing Hours per Resident per Day
1.29000
Reported Total Nurse Staffing Hours per Resident per Day
3.12706
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06706
Expected CNA Staffing Hours per Resident per Day
2.13384
Expected LPN Staffing Hours per Resident per Day
0.60957
Expected RN Staffing Hours per Resident per Day
1.01340
Expected Total Nurse Staffing Hours per Resident per Day
3.75681
Adjusted CNA Staffing Hours per Resident per Day
2.11243
Adjusted LPN Staffing Hours per Resident per Day
1.42249
Adjusted RN Staffing Hours per Resident per Day
0.18086
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35520
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
24
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-11-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
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
40
Cycle 3 Standard Health Survey Date
2012-11-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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