Care Inn Of La Grange - La Grange Nursing Home
General Information
UPDATEFederal Provider Number
675277
Provider Name
CARE INN OF LA GRANGE
Provider Address
457 N MAIN ST
LA GRANGE, TX 78945
LA GRANGE, TX 78945
Provider Phone Number
(979) 968-5865
Provider SSA County
511
Provider County Name
Fayette
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC LAGRANGE OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1994-02-14
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
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
2.00893
Reported LPN Staffing Hours per Resident per Day
0.73393
Reported RN Staffing Hours per Resident per Day
0.45893
Reported Licensed Staffing Hours per Resident per Day
1.19286
Reported Total Nurse Staffing Hours per Resident per Day
3.20179
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06875
Expected CNA Staffing Hours per Resident per Day
2.31125
Expected LPN Staffing Hours per Resident per Day
0.62062
Expected RN Staffing Hours per Resident per Day
1.04380
Expected Total Nurse Staffing Hours per Resident per Day
3.97567
Adjusted CNA Staffing Hours per Resident per Day
2.13275
Adjusted LPN Staffing Hours per Resident per Day
0.98153
Adjusted RN Staffing Hours per Resident per Day
0.32852
Adjusted Total Nurse Staffing Hours per Resident per Day
3.24627
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
120
Cycle 1 Standard Survey Health Date
2014-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
120
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
160
Cycle 2 Standard Health Survey Date
2012-12-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
160
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-10-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
116.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
2661
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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