Czech Catholic Home For The Aged - El Campo Nursing Home
General Information
UPDATEFederal Provider Number
450000000000000000000000000000
Provider Name
CZECH CATHOLIC HOME FOR THE AGED
Provider Address
248 WISTERIA LANE
EL CAMPO, TX 77437
EL CAMPO, TX 77437
Provider Phone Number
(979) 648-2628
Provider SSA County
954
Provider County Name
Wharton
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
56
Number of Residents in Certified Beds
35
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
1974-10-16
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.55286
Reported LPN Staffing Hours per Resident per Day
0.67000
Reported RN Staffing Hours per Resident per Day
0.47429
Reported Licensed Staffing Hours per Resident per Day
1.14429
Reported Total Nurse Staffing Hours per Resident per Day
2.69715
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.31994
Expected LPN Staffing Hours per Resident per Day
0.51575
Expected RN Staffing Hours per Resident per Day
0.72339
Expected Total Nurse Staffing Hours per Resident per Day
3.55908
Adjusted CNA Staffing Hours per Resident per Day
1.64239
Adjusted LPN Staffing Hours per Resident per Day
1.07824
Adjusted RN Staffing Hours per Resident per Day
0.48990
Adjusted Total Nurse Staffing Hours per Resident per Day
3.05471
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-04-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-05-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
42.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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