Collinwood Care Center - Plano Nursing Home
General Information
UPDATEFederal Provider Number
675453
Provider Name
COLLINWOOD CARE CENTER
Provider Address
3100 S RIGSBEE RD
PLANO, TX 75074
PLANO, TX 75074
Provider Phone Number
(972) 423-6217
Provider SSA County
310
Provider County Name
Collin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DSJ HEALTHCARE INC
Date First Approved to Provide Medicare and Medicaid services
1995-02-15
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
3
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
2.52979
Reported LPN Staffing Hours per Resident per Day
0.82074
Reported RN Staffing Hours per Resident per Day
0.49574
Reported Licensed Staffing Hours per Resident per Day
1.31649
Reported Total Nurse Staffing Hours per Resident per Day
3.84627
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00585
Expected CNA Staffing Hours per Resident per Day
2.56998
Expected LPN Staffing Hours per Resident per Day
0.66594
Expected RN Staffing Hours per Resident per Day
1.11374
Expected Total Nurse Staffing Hours per Resident per Day
4.34966
Adjusted CNA Staffing Hours per Resident per Day
2.41532
Adjusted LPN Staffing Hours per Resident per Day
1.02294
Adjusted RN Staffing Hours per Resident per Day
0.33259
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56440
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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