Crockett County Care Center - Ozona Nursing Home
General Information
UPDATEFederal Provider Number
45E852
Provider Name
CROCKETT COUNTY CARE CENTER
Provider Address
103 N AVE H
OZONA, TX 76943
OZONA, TX 76943
Provider Phone Number
3253923096
Provider SSA County
361
Provider County Name
Crockett
Ownership Type
Government - County
Number of Certified Beds
54
Number of Residents in Certified Beds
40
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1985-04-02
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
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
2.69250
Reported LPN Staffing Hours per Resident per Day
1.02125
Reported RN Staffing Hours per Resident per Day
0.70000
Reported Licensed Staffing Hours per Resident per Day
1.72125
Reported Total Nurse Staffing Hours per Resident per Day
4.41375
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.19760
Expected LPN Staffing Hours per Resident per Day
0.62816
Expected RN Staffing Hours per Resident per Day
0.77808
Expected Total Nurse Staffing Hours per Resident per Day
3.60385
Adjusted CNA Staffing Hours per Resident per Day
3.00628
Adjusted LPN Staffing Hours per Resident per Day
1.34939
Adjusted RN Staffing Hours per Resident per Day
0.67221
Adjusted Total Nurse Staffing Hours per Resident per Day
4.93678
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
16
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-01-23
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
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-12-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
1
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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