Azalea Trail Nursing And Rehabilitation Center - Grand Saline Nursing Home
General Information
UPDATEFederal Provider Number
675253
Provider Name
AZALEA TRAIL NURSING AND REHABILITATION CENTER
Provider Address
411 SPRING CREEK RD
GRAND SALINE, TX 75140
GRAND SALINE, TX 75140
Provider Phone Number
(903) 962-4226
Provider SSA County
947
Provider County Name
Van Zandt
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
76
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EKKLESIA HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-01-19
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
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.44130
Reported LPN Staffing Hours per Resident per Day
0.85435
Reported RN Staffing Hours per Resident per Day
0.42283
Reported Licensed Staffing Hours per Resident per Day
1.27717
Reported Total Nurse Staffing Hours per Resident per Day
3.71848
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09348
Expected CNA Staffing Hours per Resident per Day
2.20757
Expected LPN Staffing Hours per Resident per Day
0.59629
Expected RN Staffing Hours per Resident per Day
0.99229
Expected Total Nurse Staffing Hours per Resident per Day
3.79615
Adjusted CNA Staffing Hours per Resident per Day
2.71349
Adjusted LPN Staffing Hours per Resident per Day
1.18920
Adjusted RN Staffing Hours per Resident per Day
0.31839
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94843
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-03-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-03-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-02-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
9.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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