Balch Springs Nursing Home - Balch Springs Nursing Home
General Information
UPDATEFederal Provider Number
675057
Provider Name
BALCH SPRINGS NURSING HOME
Provider Address
4200 SHEPHERD LN
BALCH SPRINGS, TX 75180
BALCH SPRINGS, TX 75180
Provider Phone Number
(972) 286-0335
Provider SSA County
390
Provider County Name
Dallas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BALCH SPRINGS SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1992-06-01
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
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
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
2.27826
Reported LPN Staffing Hours per Resident per Day
0.92554
Reported RN Staffing Hours per Resident per Day
0.29402
Reported Licensed Staffing Hours per Resident per Day
1.21957
Reported Total Nurse Staffing Hours per Resident per Day
3.49782
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04348
Expected CNA Staffing Hours per Resident per Day
2.33448
Expected LPN Staffing Hours per Resident per Day
0.69744
Expected RN Staffing Hours per Resident per Day
1.26271
Expected Total Nurse Staffing Hours per Resident per Day
4.29463
Adjusted CNA Staffing Hours per Resident per Day
2.39461
Adjusted LPN Staffing Hours per Resident per Day
1.10145
Adjusted RN Staffing Hours per Resident per Day
0.17398
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28302
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
2014-10-09
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
617
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
617
Total Weighted Health Survey Score
124.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
3
Total Amount of Fines in Dollars
194900
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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