Grace Care Center Of Henrietta - Henrietta Nursing Home
General Information
UPDATEFederal Provider Number
455893
Provider Name
GRACE CARE CENTER OF HENRIETTA
Provider Address
807 W BOIS D ARC
HENRIETTA, TX 76365
HENRIETTA, TX 76365
Provider Phone Number
(940) 538-4303
Provider SSA County
291
Provider County Name
Clay
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
41
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NOCONA HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1990-09-07
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
2
QM Rating Footnote
Staffing Rating
1
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
1.85222
Reported LPN Staffing Hours per Resident per Day
0.88444
Reported RN Staffing Hours per Resident per Day
0.27778
Reported Licensed Staffing Hours per Resident per Day
1.16222
Reported Total Nurse Staffing Hours per Resident per Day
3.01444
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06333
Expected CNA Staffing Hours per Resident per Day
2.33771
Expected LPN Staffing Hours per Resident per Day
0.64379
Expected RN Staffing Hours per Resident per Day
1.05160
Expected Total Nurse Staffing Hours per Resident per Day
4.03311
Adjusted CNA Staffing Hours per Resident per Day
1.94412
Adjusted LPN Staffing Hours per Resident per Day
1.14025
Adjusted RN Staffing Hours per Resident per Day
0.19737
Adjusted Total Nurse Staffing Hours per Resident per Day
3.01279
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-07-03
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-07-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
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
40
Cycle 3 Standard Health Survey Date
2012-07-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
30.66700
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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