Cisco Nursing & Rehabilitation - Cisco Nursing Home
General Information
UPDATEFederal Provider Number
675259
Provider Name
CISCO NURSING & REHABILITATION
Provider Address
1404 FRONT ST
CISCO, TX 76437
CISCO, TX 76437
Provider Phone Number
(254) 442-4202
Provider SSA County
450
Provider County Name
Eastland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CISCO NURSING OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
1
QM Rating Footnote
Staffing Rating
2
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
1.63250
Reported LPN Staffing Hours per Resident per Day
0.92750
Reported RN Staffing Hours per Resident per Day
0.43000
Reported Licensed Staffing Hours per Resident per Day
1.35750
Reported Total Nurse Staffing Hours per Resident per Day
2.99000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.24373
Expected LPN Staffing Hours per Resident per Day
0.55125
Expected RN Staffing Hours per Resident per Day
0.88297
Expected Total Nurse Staffing Hours per Resident per Day
3.67796
Adjusted CNA Staffing Hours per Resident per Day
1.78527
Adjusted LPN Staffing Hours per Resident per Day
1.39650
Adjusted RN Staffing Hours per Resident per Day
0.36388
Adjusted Total Nurse Staffing Hours per Resident per Day
3.27692
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
197
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
197
Total Weighted Health Survey Score
97.50000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
4875
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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