Bel Air At Teravista - Round Rock Nursing Home
General Information
UPDATEFederal Provider Number
676345
Provider Name
BEL AIR AT TERAVISTA
Provider Address
4105 TERAVISTA CLUB DRIVE
ROUND ROCK, TX 78665
ROUND ROCK, TX 78665
Provider Phone Number
(512) 310-3700
Provider SSA County
970
Provider County Name
Williamson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
112
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEL AIR CONTINUING CARE CENTER LTD CO
Date First Approved to Provide Medicare and Medicaid services
2013-09-04
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.12537
Reported LPN Staffing Hours per Resident per Day
1.57313
Reported RN Staffing Hours per Resident per Day
2.64403
Reported Licensed Staffing Hours per Resident per Day
4.21716
Reported Total Nurse Staffing Hours per Resident per Day
7.34253
Reported Physical Therapist Staffing Hours per Resident Per Day
0.29851
Expected CNA Staffing Hours per Resident per Day
2.45480
Expected LPN Staffing Hours per Resident per Day
0.72856
Expected RN Staffing Hours per Resident per Day
1.33846
Expected Total Nurse Staffing Hours per Resident per Day
4.52183
Adjusted CNA Staffing Hours per Resident per Day
3.12397
Adjusted LPN Staffing Hours per Resident per Day
1.79216
Adjusted RN Staffing Hours per Resident per Day
1.47604
Adjusted Total Nurse Staffing Hours per Resident per Day
6.54536
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
152
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
152
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-09-04
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
104.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
1300
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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