Cityview Care Center - Fort Worth Nursing Home

General Information

UPDATE
Federal Provider Number
675622
Provider Name
CITYVIEW CARE CENTER
Provider Address
5801 BRYANT IRVIN RD
FORT WORTH, TX 76132
Provider Phone Number
(817) 346-3030
Provider SSA County
910
Provider County Name
Tarrant
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
154
Number of Residents in Certified Beds
154
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1996-07-30
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.25097
Reported LPN Staffing Hours per Resident per Day
1.08539
Reported RN Staffing Hours per Resident per Day
0.57792
Reported Licensed Staffing Hours per Resident per Day
1.66331
Reported Total Nurse Staffing Hours per Resident per Day
3.91428
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05812
Expected CNA Staffing Hours per Resident per Day
2.43745
Expected LPN Staffing Hours per Resident per Day
0.71102
Expected RN Staffing Hours per Resident per Day
1.29286
Expected Total Nurse Staffing Hours per Resident per Day
4.44133
Adjusted CNA Staffing Hours per Resident per Day
2.26598
Adjusted LPN Staffing Hours per Resident per Day
1.26701
Adjusted RN Staffing Hours per Resident per Day
0.33401
Adjusted Total Nurse Staffing Hours per Resident per Day
3.55256
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-09-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
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
16
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
7
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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