Brentwood Place One - Dallas Nursing Home

General Information

UPDATE
Federal Provider Number
675680
Provider Name
BRENTWOOD PLACE ONE
Provider Address
3505 S BUCKNER BLVD BLDG 2
DALLAS, TX 75227
Provider Phone Number
(214) 381-1815
Provider SSA County
390
Provider County Name
Dallas
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1997-04-22
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
2.30514
Reported LPN Staffing Hours per Resident per Day
0.67617
Reported RN Staffing Hours per Resident per Day
0.35374
Reported Licensed Staffing Hours per Resident per Day
1.02991
Reported Total Nurse Staffing Hours per Resident per Day
3.33505
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05841
Expected CNA Staffing Hours per Resident per Day
2.42128
Expected LPN Staffing Hours per Resident per Day
0.61171
Expected RN Staffing Hours per Resident per Day
0.95348
Expected Total Nurse Staffing Hours per Resident per Day
3.98647
Adjusted CNA Staffing Hours per Resident per Day
2.33600
Adjusted LPN Staffing Hours per Resident per Day
0.91747
Adjusted RN Staffing Hours per Resident per Day
0.27721
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37222
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
232
Cycle 1 Standard Survey Health Date
2014-06-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
232
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-06-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
125
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
125
Total Weighted Health Survey Score
144.83300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
6
Total Amount of Fines in Dollars
25090
Number of Payment Denials
0
Total Number of Penalties
6
Location
Processing Date
2015-06-01
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