Edgewood Rehabilitation And Care Center - Mesquite Nursing Home
General Information
UPDATEFederal Provider Number
676326
Provider Name
EDGEWOOD REHABILITATION AND CARE CENTER
Provider Address
1101 WINDBELL DR
MESQUITE, TX 75149
MESQUITE, TX 75149
Provider Phone Number
(972) 288-8800
Provider SSA County
390
Provider County Name
Dallas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
142
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE INN OF EDNA LLC
Date First Approved to Provide Medicare and Medicaid services
2012-10-12
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
1.73514
Reported LPN Staffing Hours per Resident per Day
0.81892
Reported RN Staffing Hours per Resident per Day
0.45270
Reported Licensed Staffing Hours per Resident per Day
1.27162
Reported Total Nurse Staffing Hours per Resident per Day
3.00676
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08986
Expected CNA Staffing Hours per Resident per Day
2.44607
Expected LPN Staffing Hours per Resident per Day
0.65999
Expected RN Staffing Hours per Resident per Day
1.21757
Expected Total Nurse Staffing Hours per Resident per Day
4.32363
Adjusted CNA Staffing Hours per Resident per Day
1.74055
Adjusted LPN Staffing Hours per Resident per Day
1.02986
Adjusted RN Staffing Hours per Resident per Day
0.27781
Adjusted Total Nurse Staffing Hours per Resident per Day
2.80319
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-12-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-20
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-10-12
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
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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