Broadway Plaza Healthcare Center - Fort Worth Nursing Home
General Information
UPDATEFederal Provider Number
455810
Provider Name
BROADWAY PLAZA HEALTHCARE CENTER
Provider Address
5301 BRYANT IRVIN RD
FORT WORTH, TX 76132
FORT WORTH, TX 76132
Provider Phone Number
(817) 346-9407
Provider SSA County
910
Provider County Name
Tarrant
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
88
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
FORT AUSTIN LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1989-04-26
Continuing Care Retirement Community
Y
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.48011
Reported LPN Staffing Hours per Resident per Day
1.18636
Reported RN Staffing Hours per Resident per Day
0.59830
Reported Licensed Staffing Hours per Resident per Day
1.78466
Reported Total Nurse Staffing Hours per Resident per Day
4.26477
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13239
Expected CNA Staffing Hours per Resident per Day
2.52376
Expected LPN Staffing Hours per Resident per Day
0.64954
Expected RN Staffing Hours per Resident per Day
1.22570
Expected Total Nurse Staffing Hours per Resident per Day
4.39900
Adjusted CNA Staffing Hours per Resident per Day
2.41126
Adjusted LPN Staffing Hours per Resident per Day
1.51596
Adjusted RN Staffing Hours per Resident per Day
0.36473
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90790
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
2014-05-08
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-07-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-05-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
8.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
112613
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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