Colonial Pines Healthcare Center - San Augustine Nursing Home
General Information
UPDATEFederal Provider Number
675358
Provider Name
COLONIAL PINES HEALTHCARE CENTER
Provider Address
1203 F M 1277
SAN AUGUSTINE, TX 75972
SAN AUGUSTINE, TX 75972
Provider Phone Number
(936) 275-3412
Provider SSA County
883
Provider County Name
San Augustine
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
107
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLONIAL SNF LP
Date First Approved to Provide Medicare and Medicaid services
1994-08-01
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
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.23188
Reported LPN Staffing Hours per Resident per Day
1.00942
Reported RN Staffing Hours per Resident per Day
0.95725
Reported Licensed Staffing Hours per Resident per Day
1.96667
Reported Total Nurse Staffing Hours per Resident per Day
4.19855
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02101
Expected CNA Staffing Hours per Resident per Day
2.43333
Expected LPN Staffing Hours per Resident per Day
0.69066
Expected RN Staffing Hours per Resident per Day
1.04917
Expected Total Nurse Staffing Hours per Resident per Day
4.17316
Adjusted CNA Staffing Hours per Resident per Day
2.25057
Adjusted LPN Staffing Hours per Resident per Day
1.21306
Adjusted RN Staffing Hours per Resident per Day
0.68174
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05543
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-12-05
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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