Copperas Cove Ltc Partners Inc - Copperas Cove Nursing Home
General Information
UPDATEFederal Provider Number
455515
Provider Name
COPPERAS COVE LTC PARTNERS INC
Provider Address
607 W AVE B
COPPERAS COVE, TX 76522
COPPERAS COVE, TX 76522
Provider Phone Number
(254) 547-1033
Provider SSA County
341
Provider County Name
Coryell
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
126
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COPPERAS COVE LTC PARTNERS,INC
Date First Approved to Provide Medicare and Medicaid services
1985-02-21
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
4
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
2.58512
Reported LPN Staffing Hours per Resident per Day
0.73869
Reported RN Staffing Hours per Resident per Day
0.35119
Reported Licensed Staffing Hours per Resident per Day
1.08988
Reported Total Nurse Staffing Hours per Resident per Day
3.67500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01726
Expected CNA Staffing Hours per Resident per Day
2.39302
Expected LPN Staffing Hours per Resident per Day
0.67683
Expected RN Staffing Hours per Resident per Day
1.04811
Expected Total Nurse Staffing Hours per Resident per Day
4.11795
Adjusted CNA Staffing Hours per Resident per Day
2.65067
Adjusted LPN Staffing Hours per Resident per Day
0.90586
Adjusted RN Staffing Hours per Resident per Day
0.25037
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59731
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
144
Cycle 1 Standard Survey Health Date
2014-10-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
144
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-10-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
555
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
555
Total Weighted Health Survey Score
193.83300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
7
Number of Fines
5
Total Amount of Fines in Dollars
24233
Number of Payment Denials
2
Total Number of Penalties
7
Location
Processing Date
2015-06-01
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