Azle Manor Health Care And Rehabilitation - Azle Nursing Home
General Information
UPDATEFederal Provider Number
676003
Provider Name
AZLE MANOR HEALTH CARE AND REHABILITATION
Provider Address
721 DUNAWAY LN
AZLE, TX 76020
AZLE, TX 76020
Provider Phone Number
8174442536
Provider SSA County
910
Provider County Name
Tarrant
Ownership Type
For profit - Partnership
Number of Certified Beds
142
Number of Residents in Certified Beds
125
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AZLE MANOR HEALTH CARE L.L.L.P.
Date First Approved to Provide Medicare and Medicaid services
2004-02-18
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.34680
Reported LPN Staffing Hours per Resident per Day
0.59360
Reported RN Staffing Hours per Resident per Day
0.48680
Reported Licensed Staffing Hours per Resident per Day
1.08040
Reported Total Nurse Staffing Hours per Resident per Day
3.42720
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09160
Expected CNA Staffing Hours per Resident per Day
2.37879
Expected LPN Staffing Hours per Resident per Day
0.61353
Expected RN Staffing Hours per Resident per Day
1.01890
Expected Total Nurse Staffing Hours per Resident per Day
4.01122
Adjusted CNA Staffing Hours per Resident per Day
2.42070
Adjusted LPN Staffing Hours per Resident per Day
0.80304
Adjusted RN Staffing Hours per Resident per Day
0.35699
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44401
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-11-07
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
10.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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
Nursiong Homes Nearby
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Kindred Transitional Care And Rehabilitation-ridgm
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Fireside Lodge Retirement Center Inc
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