Gardendale Rehabilitation And Nursing Center - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
455517
Provider Name
GARDENDALE REHABILITATION AND NURSING CENTER
Provider Address
1521 E RUSK
JACKSONVILLE, TX 75766
JACKSONVILLE, TX 75766
Provider Phone Number
(903) 586-3626
Provider SSA County
281
Provider County Name
Cherokee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Date First Approved to Provide Medicare and Medicaid services
1985-05-07
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
2
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
3.17319
Reported LPN Staffing Hours per Resident per Day
1.12319
Reported RN Staffing Hours per Resident per Day
0.34348
Reported Licensed Staffing Hours per Resident per Day
1.46667
Reported Total Nurse Staffing Hours per Resident per Day
4.63986
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00797
Expected CNA Staffing Hours per Resident per Day
2.51654
Expected LPN Staffing Hours per Resident per Day
0.73626
Expected RN Staffing Hours per Resident per Day
1.14334
Expected Total Nurse Staffing Hours per Resident per Day
4.39615
Adjusted CNA Staffing Hours per Resident per Day
3.09395
Adjusted LPN Staffing Hours per Resident per Day
1.26619
Adjusted RN Staffing Hours per Resident per Day
0.22447
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25436
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-03-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-01-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
84.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
1365
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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