Gibson Care Center - Aspermont Nursing Home
General Information
UPDATEFederal Provider Number
676077
Provider Name
GIBSON CARE CENTER
Provider Address
931 N BROADWAY
ASPERMONT, TX 79502
ASPERMONT, TX 79502
Provider Phone Number
(940) 989-3526
Provider SSA County
903
Provider County Name
Stonewall
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
80
Number of Residents in Certified Beds
30
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STONEWALL MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2005-09-13
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
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.29833
Reported LPN Staffing Hours per Resident per Day
1.72333
Reported RN Staffing Hours per Resident per Day
0.60167
Reported Licensed Staffing Hours per Resident per Day
2.32500
Reported Total Nurse Staffing Hours per Resident per Day
4.62333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02333
Expected CNA Staffing Hours per Resident per Day
2.20974
Expected LPN Staffing Hours per Resident per Day
0.61650
Expected RN Staffing Hours per Resident per Day
0.86595
Expected Total Nurse Staffing Hours per Resident per Day
3.69219
Adjusted CNA Staffing Hours per Resident per Day
2.55207
Adjusted LPN Staffing Hours per Resident per Day
2.32014
Adjusted RN Staffing Hours per Resident per Day
0.51916
Adjusted Total Nurse Staffing Hours per Resident per Day
5.04746
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-10-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
75
Cycle 3 Standard Health Survey Date
2012-09-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
75
Total Weighted Health Survey Score
40.50000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
4138
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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