Grace Presbyterian Village - Dallas Nursing Home
General Information
UPDATEFederal Provider Number
675611
Provider Name
GRACE PRESBYTERIAN VILLAGE
Provider Address
550 E ANN ARBOR AVE
DALLAS, TX 75216
DALLAS, TX 75216
Provider Phone Number
(214) 376-1701
Provider SSA County
390
Provider County Name
Dallas
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
124
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRACE PRESBYTERIAN MINISTRIES, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-05-08
Continuing Care Retirement Community
Y
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
3
Health Inspection Rating Footnote
QM Rating
4
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
3.26976
Reported LPN Staffing Hours per Resident per Day
1.20685
Reported RN Staffing Hours per Resident per Day
0.91935
Reported Licensed Staffing Hours per Resident per Day
2.12621
Reported Total Nurse Staffing Hours per Resident per Day
5.39596
Reported Physical Therapist Staffing Hours per Resident Per Day
0.29677
Expected CNA Staffing Hours per Resident per Day
2.49259
Expected LPN Staffing Hours per Resident per Day
0.70235
Expected RN Staffing Hours per Resident per Day
1.31285
Expected Total Nurse Staffing Hours per Resident per Day
4.50779
Adjusted CNA Staffing Hours per Resident per Day
3.21875
Adjusted LPN Staffing Hours per Resident per Day
1.42619
Adjusted RN Staffing Hours per Resident per Day
0.52324
Adjusted Total Nurse Staffing Hours per Resident per Day
4.82510
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
2015-02-12
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
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
144
Cycle 2 Standard Health Survey Date
2014-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
144
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
65.33300
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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