Brookhaven Nursing And Rehabilitation Center - Carrollton Nursing Home
General Information
UPDATEFederal Provider Number
455412
Provider Name
BROOKHAVEN NURSING AND REHABILITATION CENTER
Provider Address
1855 CHEYENNE
CARROLLTON, TX 75010
CARROLLTON, TX 75010
Provider Phone Number
9723947141
Provider SSA County
410
Provider County Name
Denton
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
125
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DHC OPCO-CARROLLTON, LLC
Date First Approved to Provide Medicare and Medicaid services
1973-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
2.34880
Reported LPN Staffing Hours per Resident per Day
0.82680
Reported RN Staffing Hours per Resident per Day
0.58800
Reported Licensed Staffing Hours per Resident per Day
1.41480
Reported Total Nurse Staffing Hours per Resident per Day
3.76360
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02960
Expected CNA Staffing Hours per Resident per Day
2.35108
Expected LPN Staffing Hours per Resident per Day
0.67796
Expected RN Staffing Hours per Resident per Day
1.23502
Expected Total Nurse Staffing Hours per Resident per Day
4.26405
Adjusted CNA Staffing Hours per Resident per Day
2.45132
Adjusted LPN Staffing Hours per Resident per Day
1.01222
Adjusted RN Staffing Hours per Resident per Day
0.35575
Adjusted Total Nurse Staffing Hours per Resident per Day
3.55781
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
2015-04-09
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
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-04-17
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-04-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
10.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
1170
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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