Countryside Nursing And Rehabilitation Lp - Pilot Point Nursing Home
General Information
UPDATEFederal Provider Number
455930
Provider Name
COUNTRYSIDE NURSING AND REHABILITATION LP
Provider Address
1700 N WASHINGTON
PILOT POINT, TX 76258
PILOT POINT, TX 76258
Provider Phone Number
(940) 686-5556
Provider SSA County
410
Provider County Name
Denton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
111
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTRYSIDE NURSING AND REHABILITATION LP
Date First Approved to Provide Medicare and Medicaid services
1991-07-18
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.09940
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.29464
Reported Licensed Staffing Hours per Resident per Day
0.29464
Reported Total Nurse Staffing Hours per Resident per Day
2.39404
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07560
Expected CNA Staffing Hours per Resident per Day
2.33209
Expected LPN Staffing Hours per Resident per Day
0.62794
Expected RN Staffing Hours per Resident per Day
1.11321
Expected Total Nurse Staffing Hours per Resident per Day
4.07324
Adjusted CNA Staffing Hours per Resident per Day
2.20887
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.19777
Adjusted Total Nurse Staffing Hours per Resident per Day
2.36915
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-05-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-05-22
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-05-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
1300
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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