Burleson St Joseph Manor - Caldwell Nursing Home
General Information
UPDATEFederal Provider Number
675885
Provider Name
BURLESON ST JOSEPH MANOR
Provider Address
1022 PRESIDENTIAL CORRIDOR HWY 21 E
CALDWELL, TX 77836
CALDWELL, TX 77836
Provider Phone Number
9795670920
Provider SSA County
221
Provider County Name
Burleson
Ownership Type
Government - Hospital district
Number of Certified Beds
112
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BURLESON COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
2001-09-18
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
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
1.85398
Reported LPN Staffing Hours per Resident per Day
0.83693
Reported RN Staffing Hours per Resident per Day
0.39432
Reported Licensed Staffing Hours per Resident per Day
1.23125
Reported Total Nurse Staffing Hours per Resident per Day
3.08523
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03239
Expected CNA Staffing Hours per Resident per Day
2.47914
Expected LPN Staffing Hours per Resident per Day
0.61913
Expected RN Staffing Hours per Resident per Day
0.93517
Expected Total Nurse Staffing Hours per Resident per Day
4.03344
Adjusted CNA Staffing Hours per Resident per Day
1.83495
Adjusted LPN Staffing Hours per Resident per Day
1.12199
Adjusted RN Staffing Hours per Resident per Day
0.31506
Adjusted Total Nurse Staffing Hours per Resident per Day
3.08329
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
132
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
132
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2014-02-07
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
117.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Copperas Hollow Nursing & Rehabilitation Center
345 Country Club Dr |
CALDWELL TX 77836 | 1.4 miles away
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