Goldthwaite Health & Rehabilitation Center - Goldthwaite Nursing Home

General Information

UPDATE
Federal Provider Number
676086
Provider Name
GOLDTHWAITE HEALTH & REHABILITATION CENTER
Provider Address
1207 S REYNOLDS ST
GOLDTHWAITE, TX 76844
Provider Phone Number
(325) 648-2258
Provider SSA County
796
Provider County Name
Mills
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOLDTHWAITE I ENTERPRISES, LLC
Date First Approved to Provide Medicare and Medicaid services
2006-01-06
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
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.80366
Reported LPN Staffing Hours per Resident per Day
0.76585
Reported RN Staffing Hours per Resident per Day
0.55488
Reported Licensed Staffing Hours per Resident per Day
1.32073
Reported Total Nurse Staffing Hours per Resident per Day
4.12439
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01220
Expected CNA Staffing Hours per Resident per Day
2.25722
Expected LPN Staffing Hours per Resident per Day
0.68389
Expected RN Staffing Hours per Resident per Day
1.17558
Expected Total Nurse Staffing Hours per Resident per Day
4.11668
Adjusted CNA Staffing Hours per Resident per Day
3.04771
Adjusted LPN Staffing Hours per Resident per Day
0.92947
Adjusted RN Staffing Hours per Resident per Day
0.35268
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03844
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
16
Cycle 1 Standard Survey Health Date
2014-05-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-06-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
748
Cycle 3 Standard Health Survey Date
2012-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
748
Total Weighted Health Survey Score
151.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
44100
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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