Falcon Lake Nursing Home - Zapata Nursing Home
General Information
UPDATEFederal Provider Number
676214
Provider Name
FALCON LAKE NURSING HOME
Provider Address
200 CARLA ST
ZAPATA, TX 78076
ZAPATA, TX 78076
Provider Phone Number
9567653040
Provider SSA County
982
Provider County Name
Zapata
Ownership Type
For profit - Partnership
Number of Certified Beds
59
Number of Residents in Certified Beds
28
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FALCON LAKE HEALTH CARE, LTD
Date First Approved to Provide Medicare and Medicaid services
2009-02-20
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.14643
Reported LPN Staffing Hours per Resident per Day
0.95714
Reported RN Staffing Hours per Resident per Day
0.54821
Reported Licensed Staffing Hours per Resident per Day
1.50536
Reported Total Nurse Staffing Hours per Resident per Day
3.65178
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.41390
Expected LPN Staffing Hours per Resident per Day
0.63354
Expected RN Staffing Hours per Resident per Day
1.03622
Expected Total Nurse Staffing Hours per Resident per Day
4.08366
Adjusted CNA Staffing Hours per Resident per Day
2.18182
Adjusted LPN Staffing Hours per Resident per Day
1.25395
Adjusted RN Staffing Hours per Resident per Day
0.39531
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60460
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2015-02-04
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
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-05
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-01-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
49.33300
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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