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Dallas Care And Rehab - Dallas Nursing Home

General Information

UPDATE
Federal Provider Number
525694
Provider Name
DALLAS CARE AND REHAB
Provider Address
104 E DALLAS ST BOX 220
DALLAS, WI 54733
Provider Phone Number
7158371222
Provider SSA County
20
Provider County Name
Barron
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SENIOR MANAGEMENT INC
Date First Approved to Provide Medicare and Medicaid services
2008-09-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.48333
Reported LPN Staffing Hours per Resident per Day
0.54359
Reported RN Staffing Hours per Resident per Day
0.80641
Reported Licensed Staffing Hours per Resident per Day
1.35000
Reported Total Nurse Staffing Hours per Resident per Day
3.83333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01282
Expected CNA Staffing Hours per Resident per Day
2.57125
Expected LPN Staffing Hours per Resident per Day
0.66128
Expected RN Staffing Hours per Resident per Day
0.96928
Expected Total Nurse Staffing Hours per Resident per Day
4.20181
Adjusted CNA Staffing Hours per Resident per Day
2.36980
Adjusted LPN Staffing Hours per Resident per Day
0.68228
Adjusted RN Staffing Hours per Resident per Day
0.62165
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67741
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-06-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-06-27
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
55.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
27625
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01

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