Autumn Leaves Nursing And Rehab Inc - Henderson Nursing Home
General Information
UPDATEFederal Provider Number
676025
Provider Name
AUTUMN LEAVES NURSING AND REHAB INC
Provider Address
321 KILGORE DRIVE
HENDERSON, TX 75652
HENDERSON, TX 75652
Provider Phone Number
9036571923
Provider SSA County
881
Provider County Name
Rusk
Ownership Type
For profit - Individual
Number of Certified Beds
125
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AUTUMN LEAVES NURSING AND REHAB INC
Date First Approved to Provide Medicare and Medicaid services
2004-06-18
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
3.15602
Reported LPN Staffing Hours per Resident per Day
1.13889
Reported RN Staffing Hours per Resident per Day
0.31019
Reported Licensed Staffing Hours per Resident per Day
1.44907
Reported Total Nurse Staffing Hours per Resident per Day
4.60510
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01806
Expected CNA Staffing Hours per Resident per Day
2.56460
Expected LPN Staffing Hours per Resident per Day
0.63250
Expected RN Staffing Hours per Resident per Day
0.95150
Expected Total Nurse Staffing Hours per Resident per Day
4.14860
Adjusted CNA Staffing Hours per Resident per Day
3.01954
Adjusted LPN Staffing Hours per Resident per Day
1.49451
Adjusted RN Staffing Hours per Resident per Day
0.24359
Adjusted Total Nurse Staffing Hours per Resident per Day
4.47445
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
156
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
156
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
176
Cycle 2 Standard Health Survey Date
2013-08-01
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
11
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
506
Cycle 3 Standard Health Survey Date
2012-08-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
506
Total Weighted Health Survey Score
221.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
12
Number of Fines
2
Total Amount of Fines in Dollars
6565
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Henderson Health & Rehabilitation Center
1010 W Main St |
HENDERSON TX 75652 | 2 miles away
Overton Healthcare Center
1110 Hwy 135 S |
OVERTON TX 75684 | 12.9 miles away
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