Grand Prairie Healthcare Center - Grand Prairie Nursing Home
General Information
UPDATEFederal Provider Number
455733
Provider Name
GRAND PRAIRIE HEALTHCARE CENTER
Provider Address
820 SMALL ST
GRAND PRAIRIE, TX 75050
GRAND PRAIRIE, TX 75050
Provider Phone Number
(972) 262-1351
Provider SSA County
390
Provider County Name
Dallas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
164
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
IHS ACQUISITION NO 133 INC
Date First Approved to Provide Medicare and Medicaid services
1988-01-27
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
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.05222
Reported LPN Staffing Hours per Resident per Day
0.98556
Reported RN Staffing Hours per Resident per Day
0.58333
Reported Licensed Staffing Hours per Resident per Day
1.56889
Reported Total Nurse Staffing Hours per Resident per Day
3.62111
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05222
Expected CNA Staffing Hours per Resident per Day
2.68422
Expected LPN Staffing Hours per Resident per Day
0.69949
Expected RN Staffing Hours per Resident per Day
1.00002
Expected Total Nurse Staffing Hours per Resident per Day
4.38373
Adjusted CNA Staffing Hours per Resident per Day
1.87597
Adjusted LPN Staffing Hours per Resident per Day
1.16944
Adjusted RN Staffing Hours per Resident per Day
0.43586
Adjusted Total Nurse Staffing Hours per Resident per Day
3.32966
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-10-09
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
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
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
24
Cycle 3 Standard Health Survey Date
2012-10-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
13
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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