Dogwood Trails Manor - Woodville Nursing Home
General Information
UPDATEFederal Provider Number
675152
Provider Name
DOGWOOD TRAILS MANOR
Provider Address
647 US HWY 190 W
WOODVILLE, TX 75979
WOODVILLE, TX 75979
Provider Phone Number
4092838147
Provider SSA County
942
Provider County Name
Tyler
Ownership Type
For profit - Individual
Number of Certified Beds
90
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOODVILLE II ENTERPRISES, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-05-21
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
3.03571
Reported LPN Staffing Hours per Resident per Day
1.11214
Reported RN Staffing Hours per Resident per Day
0.36714
Reported Licensed Staffing Hours per Resident per Day
1.47929
Reported Total Nurse Staffing Hours per Resident per Day
4.51499
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00643
Expected CNA Staffing Hours per Resident per Day
2.52246
Expected LPN Staffing Hours per Resident per Day
0.68466
Expected RN Staffing Hours per Resident per Day
1.15862
Expected Total Nurse Staffing Hours per Resident per Day
4.36574
Adjusted CNA Staffing Hours per Resident per Day
2.95295
Adjusted LPN Staffing Hours per Resident per Day
1.34823
Adjusted RN Staffing Hours per Resident per Day
0.23677
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16870
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
92
Cycle 1 Standard Survey Health Date
2014-07-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-07-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
60.66700
Number of Facility Reported Incidents
0
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
Nursiong Homes Nearby
Woodville Health And Rehabilitation Center
102 N Beach St |
WOODVILLE TX 75979 | 0.9 mile away
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