Colonial Manor Nursing Center - Cleburne Nursing Home
General Information
UPDATEFederal Provider Number
455631
Provider Name
COLONIAL MANOR NURSING CENTER
Provider Address
2035 N GRANBURY ST
CLEBURNE, TX 76031
CLEBURNE, TX 76031
Provider Phone Number
8176459134
Provider SSA County
720
Provider County Name
Johnson
Ownership Type
For profit - Corporation
Number of Certified Beds
148
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Date First Approved to Provide Medicare and Medicaid services
1986-01-23
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
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
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.77366
Reported LPN Staffing Hours per Resident per Day
1.24194
Reported RN Staffing Hours per Resident per Day
0.27097
Reported Licensed Staffing Hours per Resident per Day
1.51290
Reported Total Nurse Staffing Hours per Resident per Day
3.28657
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05430
Expected CNA Staffing Hours per Resident per Day
2.27368
Expected LPN Staffing Hours per Resident per Day
0.73756
Expected RN Staffing Hours per Resident per Day
1.27578
Expected Total Nurse Staffing Hours per Resident per Day
4.28702
Adjusted CNA Staffing Hours per Resident per Day
1.91409
Adjusted LPN Staffing Hours per Resident per Day
1.39760
Adjusted RN Staffing Hours per Resident per Day
0.15870
Adjusted Total Nurse Staffing Hours per Resident per Day
3.09022
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-09-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
12
Cycle 2 Health Deficiency Score
840
Cycle 2 Standard Health Survey Date
2013-09-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
326.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
7
Number of Fines
2
Total Amount of Fines in Dollars
316599
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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