Clyde Nursing Center - Clyde Nursing Home
General Information
UPDATEFederal Provider Number
675038
Provider Name
CLYDE NURSING CENTER
Provider Address
806 STEPHENS ST
CLYDE, TX 79510
CLYDE, TX 79510
Provider Phone Number
(325) 893-4288
Provider SSA County
230
Provider County Name
Callahan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLYDE SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1992-04-14
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
1.78718
Reported LPN Staffing Hours per Resident per Day
0.90897
Reported RN Staffing Hours per Resident per Day
0.70256
Reported Licensed Staffing Hours per Resident per Day
1.61154
Reported Total Nurse Staffing Hours per Resident per Day
3.39871
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15385
Expected CNA Staffing Hours per Resident per Day
2.39307
Expected LPN Staffing Hours per Resident per Day
0.64289
Expected RN Staffing Hours per Resident per Day
1.27742
Expected Total Nurse Staffing Hours per Resident per Day
4.31338
Adjusted CNA Staffing Hours per Resident per Day
1.83246
Adjusted LPN Staffing Hours per Resident per Day
1.17351
Adjusted RN Staffing Hours per Resident per Day
0.41095
Adjusted Total Nurse Staffing Hours per Resident per Day
3.17613
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-01-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-03-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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