Goodall Witcher Nursing Facility - Clifton Nursing Home
General Information
UPDATEFederal Provider Number
45F411
Provider Name
GOODALL WITCHER NURSING FACILITY
Provider Address
101 POSEY AVE
CLIFTON, TX 76634
CLIFTON, TX 76634
Provider Phone Number
(254) 675-8322
Provider SSA County
160
Provider County Name
Bosque
Provider Website
Provider Description
Ownership Type
Government - City
Number of Certified Beds
41
Number of Residents in Certified Beds
29
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1998-01-16
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.39655
Reported LPN Staffing Hours per Resident per Day
0.72586
Reported RN Staffing Hours per Resident per Day
0.96724
Reported Licensed Staffing Hours per Resident per Day
1.69310
Reported Total Nurse Staffing Hours per Resident per Day
5.08965
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.29871
Expected LPN Staffing Hours per Resident per Day
0.58785
Expected RN Staffing Hours per Resident per Day
0.82171
Expected Total Nurse Staffing Hours per Resident per Day
3.70828
Adjusted CNA Staffing Hours per Resident per Day
3.62555
Adjusted LPN Staffing Hours per Resident per Day
1.02485
Adjusted RN Staffing Hours per Resident per Day
0.87953
Adjusted Total Nurse Staffing Hours per Resident per Day
5.53245
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
24
Cycle 1 Standard Survey Health Date
2014-03-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-05-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-03-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
30.00000
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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