Canton Oaks - Canton Nursing Home
General Information
UPDATEFederal Provider Number
676300
Provider Name
CANTON OAKS
Provider Address
1901 S TRADE DAYS BLVD
CANTON, TX 75103
CANTON, TX 75103
Provider Phone Number
(903) 567-0444
Provider SSA County
947
Provider County Name
Van Zandt
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CANTON LONG TERM CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
2011-11-18
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.88564
Reported LPN Staffing Hours per Resident per Day
0.80198
Reported RN Staffing Hours per Resident per Day
0.50347
Reported Licensed Staffing Hours per Resident per Day
1.30545
Reported Total Nurse Staffing Hours per Resident per Day
4.19109
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10842
Expected CNA Staffing Hours per Resident per Day
2.37934
Expected LPN Staffing Hours per Resident per Day
0.71381
Expected RN Staffing Hours per Resident per Day
1.23596
Expected Total Nurse Staffing Hours per Resident per Day
4.32910
Adjusted CNA Staffing Hours per Resident per Day
2.97583
Adjusted LPN Staffing Hours per Resident per Day
0.93253
Adjusted RN Staffing Hours per Resident per Day
0.30437
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90239
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2013-08-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
120
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
53.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
975
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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