Chisolm Trail Nursing And Rehabilitation Center - Lockhart Nursing Home
General Information
UPDATEFederal Provider Number
675053
Provider Name
CHISOLM TRAIL NURSING AND REHABILITATION CENTER
Provider Address
107 N MEDINA
LOCKHART, TX 78644
LOCKHART, TX 78644
Provider Phone Number
(512) 398-5213
Provider SSA County
223
Provider County Name
Caldwell
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIVERSICARE CHISOLM, LLC
Date First Approved to Provide Medicare and Medicaid services
1992-06-26
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
2.11466
Reported LPN Staffing Hours per Resident per Day
0.47672
Reported RN Staffing Hours per Resident per Day
0.53276
Reported Licensed Staffing Hours per Resident per Day
1.00948
Reported Total Nurse Staffing Hours per Resident per Day
3.12414
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10431
Expected CNA Staffing Hours per Resident per Day
2.65917
Expected LPN Staffing Hours per Resident per Day
0.68272
Expected RN Staffing Hours per Resident per Day
1.08420
Expected Total Nurse Staffing Hours per Resident per Day
4.42610
Adjusted CNA Staffing Hours per Resident per Day
1.95127
Adjusted LPN Staffing Hours per Resident per Day
0.57956
Adjusted RN Staffing Hours per Resident per Day
0.36716
Adjusted Total Nurse Staffing Hours per Resident per Day
2.84519
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-07-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
61.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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