Citizens Medical Center - Victoria Nursing Home
General Information
UPDATEFederal Provider Number
675086
Provider Name
CITIZENS MEDICAL CENTER
Provider Address
2701 HOSPITAL DR
VICTORIA, TX 77901
VICTORIA, TX 77901
Provider Phone Number
(361) 572-5113
Provider SSA County
948
Provider County Name
Victoria
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
20
Number of Residents in Certified Beds
18
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
CITIZENS MEDICAL CENTER COUNTY OF VICTORIA
Date First Approved to Provide Medicare and Medicaid services
1992-10-06
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.52500
Reported LPN Staffing Hours per Resident per Day
1.39444
Reported RN Staffing Hours per Resident per Day
5.05556
Reported Licensed Staffing Hours per Resident per Day
6.45000
Reported Total Nurse Staffing Hours per Resident per Day
7.97500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.47500
Expected CNA Staffing Hours per Resident per Day
2.56198
Expected LPN Staffing Hours per Resident per Day
1.01962
Expected RN Staffing Hours per Resident per Day
2.24912
Expected Total Nurse Staffing Hours per Resident per Day
5.83072
Adjusted CNA Staffing Hours per Resident per Day
1.46055
Adjusted LPN Staffing Hours per Resident per Day
1.13511
Adjusted RN Staffing Hours per Resident per Day
1.67955
Adjusted Total Nurse Staffing Hours per Resident per Day
5.51328
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
24
Cycle 1 Standard Survey Health Date
2014-10-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-12-11
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
27.33300
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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