Arlington Villa Retirement Community - Arlington Nursing Home
General Information
UPDATEFederal Provider Number
675916
Provider Name
ARLINGTON VILLA RETIREMENT COMMUNITY
Provider Address
2601 W RANDOL MILL RD
ARLINGTON, TX 76012
ARLINGTON, TX 76012
Provider Phone Number
(817) 274-5571
Provider SSA County
910
Provider County Name
Tarrant
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
144
Number of Residents in Certified Beds
127
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINNACLE HEALTH FACILITIES XXIX LP
Date First Approved to Provide Medicare and Medicaid services
2002-06-20
Continuing Care Retirement Community
Y
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
3
Health Inspection Rating Footnote
QM Rating
4
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
2.29488
Reported LPN Staffing Hours per Resident per Day
1.12126
Reported RN Staffing Hours per Resident per Day
0.42283
Reported Licensed Staffing Hours per Resident per Day
1.54409
Reported Total Nurse Staffing Hours per Resident per Day
3.83897
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04961
Expected CNA Staffing Hours per Resident per Day
2.59140
Expected LPN Staffing Hours per Resident per Day
0.72660
Expected RN Staffing Hours per Resident per Day
1.29069
Expected Total Nurse Staffing Hours per Resident per Day
4.60868
Adjusted CNA Staffing Hours per Resident per Day
2.17294
Adjusted LPN Staffing Hours per Resident per Day
1.28082
Adjusted RN Staffing Hours per Resident per Day
0.24478
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35769
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-04
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-09-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
50.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
7
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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