Dfw Nursing & Rehab - Fort Worth Nursing Home
General Information
UPDATEFederal Provider Number
455881
Provider Name
DFW NURSING & REHAB
Provider Address
900 W LEUDA ST
FORT WORTH, TX 76104
FORT WORTH, TX 76104
Provider Phone Number
(817) 332-7003
Provider SSA County
910
Provider County Name
Tarrant
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
76
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
1990-06-28
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.04211
Reported LPN Staffing Hours per Resident per Day
0.86053
Reported RN Staffing Hours per Resident per Day
0.43618
Reported Licensed Staffing Hours per Resident per Day
1.29671
Reported Total Nurse Staffing Hours per Resident per Day
3.33882
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01711
Expected CNA Staffing Hours per Resident per Day
2.13338
Expected LPN Staffing Hours per Resident per Day
0.61026
Expected RN Staffing Hours per Resident per Day
1.04877
Expected Total Nurse Staffing Hours per Resident per Day
3.79241
Adjusted CNA Staffing Hours per Resident per Day
2.34873
Adjusted LPN Staffing Hours per Resident per Day
1.17038
Adjusted RN Staffing Hours per Resident per Day
0.31076
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54878
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
136
Cycle 2 Standard Health Survey Date
2014-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
136
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
623
Cycle 3 Standard Health Survey Date
2013-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
623
Total Weighted Health Survey Score
165.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
29770
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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