Bivins Memorial Nursing Home - Amarillo Nursing Home
General Information
UPDATEFederal Provider Number
455456
Provider Name
BIVINS MEMORIAL NURSING HOME
Provider Address
1001 WALLACE BLVD
AMARILLO, TX 79106
AMARILLO, TX 79106
Provider Phone Number
(806) 355-7453
Provider SSA County
860
Provider County Name
Potter
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
118
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEE BIVINS FOUNDATION
Date First Approved to Provide Medicare and Medicaid services
1980-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.25500
Reported LPN Staffing Hours per Resident per Day
1.45286
Reported RN Staffing Hours per Resident per Day
0.63429
Reported Licensed Staffing Hours per Resident per Day
2.08714
Reported Total Nurse Staffing Hours per Resident per Day
4.34215
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08143
Expected CNA Staffing Hours per Resident per Day
2.29836
Expected LPN Staffing Hours per Resident per Day
0.62665
Expected RN Staffing Hours per Resident per Day
1.18613
Expected Total Nurse Staffing Hours per Resident per Day
4.11113
Adjusted CNA Staffing Hours per Resident per Day
2.40741
Adjusted LPN Staffing Hours per Resident per Day
1.92432
Adjusted RN Staffing Hours per Resident per Day
0.39957
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25741
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-05-14
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-04-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
116
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-03-29
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
26
Cycle 3 Total Health Score
78
Total Weighted Health Survey Score
57.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
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
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