Broadmoor Medical Lodge - Rockwall Nursing Home
General Information
UPDATEFederal Provider Number
676335
Provider Name
BROADMOOR MEDICAL LODGE
Provider Address
5242 MEDICAL DRIVE
ROCKWALL, TX 75032
ROCKWALL, TX 75032
Provider Phone Number
(972) 772-8700
Provider SSA County
879
Provider County Name
Rockwall
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
125
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SCC PARTNERS, INC.
Date First Approved to Provide Medicare and Medicaid services
2013-04-30
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.27840
Reported LPN Staffing Hours per Resident per Day
1.23480
Reported RN Staffing Hours per Resident per Day
0.85400
Reported Licensed Staffing Hours per Resident per Day
2.08880
Reported Total Nurse Staffing Hours per Resident per Day
4.36720
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14120
Expected CNA Staffing Hours per Resident per Day
2.60339
Expected LPN Staffing Hours per Resident per Day
0.76511
Expected RN Staffing Hours per Resident per Day
1.37562
Expected Total Nurse Staffing Hours per Resident per Day
4.74411
Adjusted CNA Staffing Hours per Resident per Day
2.14740
Adjusted LPN Staffing Hours per Resident per Day
1.33953
Adjusted RN Staffing Hours per Resident per Day
0.46387
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71065
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-05-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-04-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
0.00000
Number of Facility Reported Incidents
0
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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