Deer Creek Of Wimberley - Wimberley Nursing Home

General Information

UPDATE
Federal Provider Number
455917
Provider Name
DEER CREEK OF WIMBERLEY
Provider Address
555 RANCH RD 3237
WIMBERLEY, TX 78676
Provider Phone Number
5128475540
Provider SSA County
631
Provider County Name
Hays
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC WIMBERLEY OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1991-02-07
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.97284
Reported LPN Staffing Hours per Resident per Day
0.78086
Reported RN Staffing Hours per Resident per Day
0.37222
Reported Licensed Staffing Hours per Resident per Day
1.15309
Reported Total Nurse Staffing Hours per Resident per Day
3.12592
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09198
Expected CNA Staffing Hours per Resident per Day
2.31959
Expected LPN Staffing Hours per Resident per Day
0.67906
Expected RN Staffing Hours per Resident per Day
1.23207
Expected Total Nurse Staffing Hours per Resident per Day
4.23072
Adjusted CNA Staffing Hours per Resident per Day
2.08691
Adjusted LPN Staffing Hours per Resident per Day
0.95443
Adjusted RN Staffing Hours per Resident per Day
0.22574
Adjusted Total Nurse Staffing Hours per Resident per Day
2.97828
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
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
56
Cycle 2 Standard Health Survey Date
2013-09-18
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
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
77.33300
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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