Clairmont Longview - Longview Nursing Home
General Information
UPDATEFederal Provider Number
455684
Provider Name
CLAIRMONT LONGVIEW
Provider Address
3201 N FOURTH ST
LONGVIEW, TX 75605
LONGVIEW, TX 75605
Provider Phone Number
(903) 236-4291
Provider SSA County
570
Provider County Name
Gregg
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
198
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOPKINS COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1987-02-11
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
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
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.05360
Reported LPN Staffing Hours per Resident per Day
0.92928
Reported RN Staffing Hours per Resident per Day
0.66081
Reported Licensed Staffing Hours per Resident per Day
1.59009
Reported Total Nurse Staffing Hours per Resident per Day
3.64369
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11081
Expected CNA Staffing Hours per Resident per Day
2.29748
Expected LPN Staffing Hours per Resident per Day
0.67653
Expected RN Staffing Hours per Resident per Day
1.20484
Expected Total Nurse Staffing Hours per Resident per Day
4.17885
Adjusted CNA Staffing Hours per Resident per Day
2.19324
Adjusted LPN Staffing Hours per Resident per Day
1.14009
Adjusted RN Staffing Hours per Resident per Day
0.40981
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51468
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
160
Cycle 1 Standard Survey Health Date
2014-11-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
160
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
140
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
140
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
128
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
128
Total Weighted Health Survey Score
148.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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