Colonial Belle Nursing Home - Bellville Nursing Home
General Information
UPDATEFederal Provider Number
676164
Provider Name
COLONIAL BELLE NURSING HOME
Provider Address
106 N BARON
BELLVILLE, TX 77418
BELLVILLE, TX 77418
Provider Phone Number
(979) 865-3689
Provider SSA County
70
Provider County Name
Austin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LTC OF AUSTIN COUNTY II, LLC
Date First Approved to Provide Medicare and Medicaid services
2007-12-16
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.36333
Reported LPN Staffing Hours per Resident per Day
0.94889
Reported RN Staffing Hours per Resident per Day
0.44000
Reported Licensed Staffing Hours per Resident per Day
1.38889
Reported Total Nurse Staffing Hours per Resident per Day
3.75222
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00778
Expected CNA Staffing Hours per Resident per Day
2.26257
Expected LPN Staffing Hours per Resident per Day
0.59775
Expected RN Staffing Hours per Resident per Day
0.99449
Expected Total Nurse Staffing Hours per Resident per Day
3.85481
Adjusted CNA Staffing Hours per Resident per Day
2.56297
Adjusted LPN Staffing Hours per Resident per Day
1.31758
Adjusted RN Staffing Hours per Resident per Day
0.33059
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92363
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-05-15
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
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-06-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-07-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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