Colonial Care Center - Schulenburg Nursing Home
General Information
UPDATEFederal Provider Number
675971
Provider Name
COLONIAL CARE CENTER
Provider Address
507 WEST AVE
SCHULENBURG, TX 78956
SCHULENBURG, TX 78956
Provider Phone Number
(979) 743-4150
Provider SSA County
511
Provider County Name
Fayette
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
71
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLONIAL CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
2003-06-05
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
2.18846
Reported LPN Staffing Hours per Resident per Day
0.90769
Reported RN Staffing Hours per Resident per Day
0.32077
Reported Licensed Staffing Hours per Resident per Day
1.22846
Reported Total Nurse Staffing Hours per Resident per Day
3.41692
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01846
Expected CNA Staffing Hours per Resident per Day
1.79743
Expected LPN Staffing Hours per Resident per Day
0.48713
Expected RN Staffing Hours per Resident per Day
0.72607
Expected Total Nurse Staffing Hours per Resident per Day
3.01062
Adjusted CNA Staffing Hours per Resident per Day
2.98751
Adjusted LPN Staffing Hours per Resident per Day
1.54658
Adjusted RN Staffing Hours per Resident per Day
0.33011
Adjusted Total Nurse Staffing Hours per Resident per Day
4.57489
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-05-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
477
Cycle 2 Standard Health Survey Date
2013-02-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
477
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
188
Cycle 3 Standard Health Survey Date
2011-11-16
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
94
Cycle 3 Total Health Score
282
Total Weighted Health Survey Score
222.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
Number of Fines
3
Total Amount of Fines in Dollars
6500
Number of Payment Denials
1
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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