Country Trails Care Center - Grand Saline Nursing Home
General Information
UPDATEFederal Provider Number
675878
Provider Name
COUNTRY TRAILS CARE CENTER
Provider Address
1638 VZ CR 1803
GRAND SALINE, TX 75140
GRAND SALINE, TX 75140
Provider Phone Number
9039627595
Provider SSA County
947
Provider County Name
Van Zandt
Ownership Type
For profit - Partnership
Number of Certified Beds
115
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2001-07-03
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
1
QM Rating Footnote
Staffing Rating
3
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
3.78734
Reported LPN Staffing Hours per Resident per Day
0.89241
Reported RN Staffing Hours per Resident per Day
0.30063
Reported Licensed Staffing Hours per Resident per Day
1.19304
Reported Total Nurse Staffing Hours per Resident per Day
4.98038
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00886
Expected CNA Staffing Hours per Resident per Day
2.42011
Expected LPN Staffing Hours per Resident per Day
0.66569
Expected RN Staffing Hours per Resident per Day
1.02327
Expected Total Nurse Staffing Hours per Resident per Day
4.10908
Adjusted CNA Staffing Hours per Resident per Day
3.83991
Adjusted LPN Staffing Hours per Resident per Day
1.11267
Adjusted RN Staffing Hours per Resident per Day
0.21952
Adjusted Total Nurse Staffing Hours per Resident per Day
4.88563
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-07-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-05-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
39.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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
Nursiong Homes Nearby
Anderson Nursing Center
520 Bradburn Rd |
GRAND SALINE TX 75140 | 2.9 miles away
Azalea Trail Nursing And Rehabilitation Center
411 Spring Creek Rd |
GRAND SALINE TX 75140 | 3.1 miles away
Van Healthcare Llc
169 S Oak St |
VAN TX 75790 | 11.4 miles away
Canton Oaks
1901 S Trade Days Blvd |
CANTON TX 75103 | 16.2 miles away
Canton Healthcare Center
1661 S Buffalo |
CANTON TX 75103 | 16.6 miles away
Free State Crestwood
1448 Houston St |
WILLS POINT TX 75169 | 19.8 miles away
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