Crestview Manor Nursing And Rehabilitation Center - Belton Nursing Home
General Information
UPDATEFederal Provider Number
455497
Provider Name
CRESTVIEW MANOR NURSING AND REHABILITATION CENTER
Provider Address
1555 POWELL AVE
BELTON, TX 76513
BELTON, TX 76513
Provider Phone Number
2549399327
Provider SSA County
120
Provider County Name
Bell
Ownership Type
For profit - Corporation
Number of Certified Beds
91
Number of Residents in Certified Beds
47
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
1984-10-25
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
1.99894
Reported LPN Staffing Hours per Resident per Day
1.13085
Reported RN Staffing Hours per Resident per Day
0.53830
Reported Licensed Staffing Hours per Resident per Day
1.66915
Reported Total Nurse Staffing Hours per Resident per Day
3.66809
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12447
Expected CNA Staffing Hours per Resident per Day
2.42806
Expected LPN Staffing Hours per Resident per Day
0.69011
Expected RN Staffing Hours per Resident per Day
1.19248
Expected Total Nurse Staffing Hours per Resident per Day
4.31066
Adjusted CNA Staffing Hours per Resident per Day
2.02005
Adjusted LPN Staffing Hours per Resident per Day
1.36008
Adjusted RN Staffing Hours per Resident per Day
0.33729
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43004
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-05-08
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-03-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
6825
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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