Coon Memorial Home - Dalhart Nursing Home
General Information
UPDATEFederal Provider Number
676338
Provider Name
COON MEMORIAL HOME
Provider Address
210 TEXAS BLVD
DALHART, TX 79022
DALHART, TX 79022
Provider Phone Number
8062448555
Provider SSA County
380
Provider County Name
Dallam
Ownership Type
Government - Hospital district
Number of Certified Beds
81
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
2013-07-15
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
4
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
2.18529
Reported LPN Staffing Hours per Resident per Day
0.60588
Reported RN Staffing Hours per Resident per Day
0.22647
Reported Licensed Staffing Hours per Resident per Day
0.83235
Reported Total Nurse Staffing Hours per Resident per Day
3.01764
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00686
Expected CNA Staffing Hours per Resident per Day
2.31244
Expected LPN Staffing Hours per Resident per Day
0.59929
Expected RN Staffing Hours per Resident per Day
0.80893
Expected Total Nurse Staffing Hours per Resident per Day
3.72066
Adjusted CNA Staffing Hours per Resident per Day
2.31878
Adjusted LPN Staffing Hours per Resident per Day
0.83913
Adjusted RN Staffing Hours per Resident per Day
0.20919
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26926
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
2014-05-08
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-06-19
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
-0001-11-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
38.40000
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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