Copperas Hollow Nursing & Rehabilitation Center - Caldwell Nursing Home
General Information
UPDATEFederal Provider Number
676227
Provider Name
COPPERAS HOLLOW NURSING & REHABILITATION CENTER
Provider Address
345 COUNTRY CLUB DR
CALDWELL, TX 77836
CALDWELL, TX 77836
Provider Phone Number
(979) 567-4300
Provider SSA County
221
Provider County Name
Burleson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
89
Number of Residents in Certified Beds
51
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
2009-06-26
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
3.25490
Reported LPN Staffing Hours per Resident per Day
0.67255
Reported RN Staffing Hours per Resident per Day
0.84020
Reported Licensed Staffing Hours per Resident per Day
1.51275
Reported Total Nurse Staffing Hours per Resident per Day
4.76765
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21569
Expected CNA Staffing Hours per Resident per Day
2.40276
Expected LPN Staffing Hours per Resident per Day
0.71009
Expected RN Staffing Hours per Resident per Day
1.12704
Expected Total Nurse Staffing Hours per Resident per Day
4.23989
Adjusted CNA Staffing Hours per Resident per Day
3.32391
Adjusted LPN Staffing Hours per Resident per Day
0.78612
Adjusted RN Staffing Hours per Resident per Day
0.55703
Adjusted Total Nurse Staffing Hours per Resident per Day
4.53265
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
128
Cycle 1 Standard Survey Health Date
2015-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
128
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
702
Cycle 2 Standard Health Survey Date
2014-02-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
702
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
156
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
156
Total Weighted Health Survey Score
324.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
2
Total Amount of Fines in Dollars
59550
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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Nursiong Homes Nearby
Burleson St Joseph Manor
1022 Presidential Corridor Hwy 21 E |
CALDWELL TX 77836 | 1.4 miles away