Azalea Place Healthcare & Rehabilitation - Tyler Nursing Home
General Information
UPDATEFederal Provider Number
675912
Provider Name
AZALEA PLACE HEALTHCARE & REHABILITATION
Provider Address
810 S PORTER AVE
TYLER, TX 75701
TYLER, TX 75701
Provider Phone Number
(903) 593-2463
Provider SSA County
892
Provider County Name
Smith
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTHWEST LTC - AZALEA, LLC
Date First Approved to Provide Medicare and Medicaid services
2002-05-09
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
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.00317
Reported LPN Staffing Hours per Resident per Day
0.93333
Reported RN Staffing Hours per Resident per Day
0.75952
Reported Licensed Staffing Hours per Resident per Day
1.69286
Reported Total Nurse Staffing Hours per Resident per Day
3.69602
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03889
Expected CNA Staffing Hours per Resident per Day
2.36959
Expected LPN Staffing Hours per Resident per Day
0.69664
Expected RN Staffing Hours per Resident per Day
1.20729
Expected Total Nurse Staffing Hours per Resident per Day
4.27352
Adjusted CNA Staffing Hours per Resident per Day
2.07427
Adjusted LPN Staffing Hours per Resident per Day
1.11200
Adjusted RN Staffing Hours per Resident per Day
0.47007
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48618
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
132
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
132
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2014-02-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-03-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
92.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
2
Number of Fines
2
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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