Benbrook Nursing & Rehabilitation Center - Benbrook Nursing Home
General Information
UPDATEFederal Provider Number
675906
Provider Name
BENBROOK NURSING & REHABILITATION CENTER
Provider Address
1000 MCKINLEY ST
BENBROOK, TX 76126
BENBROOK, TX 76126
Provider Phone Number
(817) 249-0020
Provider SSA County
910
Provider County Name
Tarrant
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
115
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BENBROOK SNF LLC
Date First Approved to Provide Medicare and Medicaid services
2002-03-06
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
1
Health Inspection Rating Footnote
QM Rating
3
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
1.97471
Reported LPN Staffing Hours per Resident per Day
0.86412
Reported RN Staffing Hours per Resident per Day
0.35529
Reported Licensed Staffing Hours per Resident per Day
1.21941
Reported Total Nurse Staffing Hours per Resident per Day
3.19412
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06647
Expected CNA Staffing Hours per Resident per Day
2.40927
Expected LPN Staffing Hours per Resident per Day
0.68531
Expected RN Staffing Hours per Resident per Day
1.19034
Expected Total Nurse Staffing Hours per Resident per Day
4.28492
Adjusted CNA Staffing Hours per Resident per Day
2.01113
Adjusted LPN Staffing Hours per Resident per Day
1.04656
Adjusted RN Staffing Hours per Resident per Day
0.22302
Adjusted Total Nurse Staffing Hours per Resident per Day
3.00476
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2015-04-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
325
Cycle 2 Standard Health Survey Date
2014-05-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
325
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
2013-04-25
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
166.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
7
Number of Fines
3
Total Amount of Fines in Dollars
39356
Number of Payment Denials
1
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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