Community Care Center Of Mineola - Mineola Nursing Home
General Information
UPDATEFederal Provider Number
675981
Provider Name
COMMUNITY CARE CENTER OF MINEOLA
Provider Address
716 MIMOSA STREET
MINEOLA, TX 75773
MINEOLA, TX 75773
Provider Phone Number
(903) 569-5366
Provider SSA County
974
Provider County Name
Wood
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MINEOLA HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
2003-07-11
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2.45000
Reported LPN Staffing Hours per Resident per Day
1.15532
Reported RN Staffing Hours per Resident per Day
0.45745
Reported Licensed Staffing Hours per Resident per Day
1.61277
Reported Total Nurse Staffing Hours per Resident per Day
4.06277
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06064
Expected CNA Staffing Hours per Resident per Day
2.44094
Expected LPN Staffing Hours per Resident per Day
0.62309
Expected RN Staffing Hours per Resident per Day
1.05263
Expected Total Nurse Staffing Hours per Resident per Day
4.11666
Adjusted CNA Staffing Hours per Resident per Day
2.46281
Adjusted LPN Staffing Hours per Resident per Day
1.53897
Adjusted RN Staffing Hours per Resident per Day
0.32472
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97813
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-09-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-09-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
52.00000
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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