Crestview Healthcare Residence Ltd - Waco Nursing Home
General Information
UPDATEFederal Provider Number
675141
Provider Name
CRESTVIEW HEALTHCARE RESIDENCE LTD
Provider Address
1400 LAKE SHORE DR
WACO, TX 76708
WACO, TX 76708
Provider Phone Number
(254) 753-0291
Provider SSA County
780
Provider County Name
Mc Lennan
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
170
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CRESTVIEW HEALTHCARE RESIDENCE LTD
Date First Approved to Provide Medicare and Medicaid services
1993-05-01
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
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.34832
Reported LPN Staffing Hours per Resident per Day
0.61513
Reported RN Staffing Hours per Resident per Day
0.39622
Reported Licensed Staffing Hours per Resident per Day
1.01134
Reported Total Nurse Staffing Hours per Resident per Day
3.35967
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03193
Expected CNA Staffing Hours per Resident per Day
2.14383
Expected LPN Staffing Hours per Resident per Day
0.59799
Expected RN Staffing Hours per Resident per Day
0.98817
Expected Total Nurse Staffing Hours per Resident per Day
3.73000
Adjusted CNA Staffing Hours per Resident per Day
2.68774
Adjusted LPN Staffing Hours per Resident per Day
0.85379
Adjusted RN Staffing Hours per Resident per Day
0.29960
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63070
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-07-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-05-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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