Greenbrier Nursing And Rehabilitation Center Of Ty - Tyler Nursing Home
General Information
UPDATEFederal Provider Number
675267
Provider Name
GREENBRIER NURSING AND REHABILITATION CENTER OF TY
Provider Address
3526 W ERWIN ST
TYLER, TX 75702
TYLER, TX 75702
Provider Phone Number
(903) 593-6441
Provider SSA County
892
Provider County Name
Smith
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TYLER II ENTERPRISES, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-02-14
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.54250
Reported LPN Staffing Hours per Resident per Day
0.77000
Reported RN Staffing Hours per Resident per Day
0.68417
Reported Licensed Staffing Hours per Resident per Day
1.45417
Reported Total Nurse Staffing Hours per Resident per Day
3.99667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.50606
Expected LPN Staffing Hours per Resident per Day
0.73043
Expected RN Staffing Hours per Resident per Day
1.17732
Expected Total Nurse Staffing Hours per Resident per Day
4.41380
Adjusted CNA Staffing Hours per Resident per Day
2.48938
Adjusted LPN Staffing Hours per Resident per Day
0.87497
Adjusted RN Staffing Hours per Resident per Day
0.43422
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64995
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
163
Cycle 2 Standard Health Survey Date
2014-01-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
163
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
116.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
3500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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