Avalon Place Wharton - Wharton Nursing Home
General Information
UPDATEFederal Provider Number
455699
Provider Name
AVALON PLACE WHARTON
Provider Address
1405 VALHALLA DR
WHARTON, TX 77488
WHARTON, TX 77488
Provider Phone Number
(979) 532-1244
Provider SSA County
954
Provider County Name
Wharton
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTHWEST LTC WHARTON LTD
Date First Approved to Provide Medicare and Medicaid services
1987-04-23
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
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.39189
Reported LPN Staffing Hours per Resident per Day
0.67973
Reported RN Staffing Hours per Resident per Day
0.45000
Reported Licensed Staffing Hours per Resident per Day
1.12973
Reported Total Nurse Staffing Hours per Resident per Day
3.52162
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15270
Expected CNA Staffing Hours per Resident per Day
2.30932
Expected LPN Staffing Hours per Resident per Day
0.66499
Expected RN Staffing Hours per Resident per Day
1.13897
Expected Total Nurse Staffing Hours per Resident per Day
4.11328
Adjusted CNA Staffing Hours per Resident per Day
2.54143
Adjusted LPN Staffing Hours per Resident per Day
0.84839
Adjusted RN Staffing Hours per Resident per Day
0.29521
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45109
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
152
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
152
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
109.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
13
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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