Edgewood Manor - Texarkana Nursing Home
General Information
UPDATEFederal Provider Number
676069
Provider Name
EDGEWOOD MANOR
Provider Address
4925 ELIZABETH ST
TEXARKANA, TX 75503
TEXARKANA, TX 75503
Provider Phone Number
(903) 793-4645
Provider SSA County
170
Provider County Name
Bowie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINNACLE HEALTH FACILITIES XXVII, L.P.
Date First Approved to Provide Medicare and Medicaid services
2005-12-20
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
2
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
2.17174
Reported LPN Staffing Hours per Resident per Day
0.70598
Reported RN Staffing Hours per Resident per Day
0.38152
Reported Licensed Staffing Hours per Resident per Day
1.08750
Reported Total Nurse Staffing Hours per Resident per Day
3.25924
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00707
Expected CNA Staffing Hours per Resident per Day
2.65698
Expected LPN Staffing Hours per Resident per Day
0.71028
Expected RN Staffing Hours per Resident per Day
1.02297
Expected Total Nurse Staffing Hours per Resident per Day
4.39024
Adjusted CNA Staffing Hours per Resident per Day
2.00559
Adjusted LPN Staffing Hours per Resident per Day
0.82497
Adjusted RN Staffing Hours per Resident per Day
0.27867
Adjusted Total Nurse Staffing Hours per Resident per Day
2.99248
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-10-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-11-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2012-12-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
73.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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