Carrollton Health And Rehabilitation Center - Carrollton Nursing Home
General Information
UPDATEFederal Provider Number
675972
Provider Name
CARROLLTON HEALTH AND REHABILITATION CENTER
Provider Address
1618 KIRBY RD
CARROLLTON, TX 75006
CARROLLTON, TX 75006
Provider Phone Number
9722451573
Provider SSA County
390
Provider County Name
Dallas
Ownership Type
For profit - Individual
Number of Certified Beds
69
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARROLLTON HEIGHTS HEALTHCARE, INC.
Date First Approved to Provide Medicare and Medicaid services
2003-05-09
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
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.85072
Reported LPN Staffing Hours per Resident per Day
0.36739
Reported RN Staffing Hours per Resident per Day
0.87971
Reported Licensed Staffing Hours per Resident per Day
1.24710
Reported Total Nurse Staffing Hours per Resident per Day
3.09782
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08913
Expected CNA Staffing Hours per Resident per Day
2.35400
Expected LPN Staffing Hours per Resident per Day
0.68415
Expected RN Staffing Hours per Resident per Day
1.11038
Expected Total Nurse Staffing Hours per Resident per Day
4.14853
Adjusted CNA Staffing Hours per Resident per Day
1.92911
Adjusted LPN Staffing Hours per Resident per Day
0.44571
Adjusted RN Staffing Hours per Resident per Day
0.59198
Adjusted Total Nurse Staffing Hours per Resident per Day
3.00998
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
375
Cycle 2 Standard Health Survey Date
2014-01-30
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2013-02-06
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
166.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
51286
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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