Balch Springs Nursing Home - Balch Springs Nursing Home

General Information

UPDATE

Federal Provider Number

675057

Provider Name

BALCH SPRINGS NURSING HOME

Provider Address

4200 SHEPHERD LN
BALCH SPRINGS, TX 75180

Provider Phone Number

9722860335

Provider SSA County

390

Provider County Name

Dallas

Ownership Type

For profit - Corporation

Number of Certified Beds

120

Number of Residents in Certified Beds

Provider Type

Medicare and Medicaid

Provider Resides in Hospital

Legal Business Name

BALCH SPRINGS SNF LLC

Date First Approved to Provide Medicare and Medicaid services

1992-06-01

Continuing Care Retirement Community

Special Focus Facility

Provider Changed Ownership in Last 12 Months

With a Resident and Family Council

Resident

Automatic Sprinkler Systems in All Required Areas

Yes

Rating Detail Information

Overall Rating

Overall Rating Footnote

Health Inspection Rating

Health Inspection Rating Footnote

QM Rating

QM Rating Footnote

Staffing Rating

Staffing Rating Footnote

RN Staffing Rating

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

Cycle 1 Number of Standard Health Deficiencies

Cycle 1 Number of Complaint Health Deficiencies

Cycle 1 Health Deficiency Score

Cycle 1 Standard Survey Health Date

2014-10-09

Cycle 1 Number of Health Revisits

Cycle 1 Health Revisit Score

Cycle 1 Total Health Score

Cycle 2 Total Number of Health Deficiencies

Cycle 2 Number of Standard Health Deficiencies

Cycle 2 Number of Complaint Health Deficiencies

Cycle 2 Health Deficiency Score

Cycle 2 Standard Health Survey Date

2013-10-24

Cycle 2 Number of Health Revisits

Cycle 2 Health Revisit Score

Cycle 2 Total Health Score

Cycle 3 Total Number of Health Deficiencies

Cycle 3 Number of Standard Health Deficiencies

Cycle 3 Number of Complaint Health Deficiencies

Cycle 3 Health Deficiency Score

617

Cycle 3 Standard Health Survey Date

2012-10-26

Cycle 3 Number of Health Revisits

Cycle 3 Health Revisit Score

Cycle 3 Total Health Score

617

Total Weighted Health Survey Score

124.16700

Number of Facility Reported Incidents

Number of Substantiated Complaints

Number of Fines

Total Amount of Fines in Dollars

194900

Number of Payment Denials

Total Number of Penalties

Location

Processing Date

2015-06-01

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