Haskell Healthcare Center - Haskell Nursing Home
General Information
UPDATEFederal Provider Number
675014
Provider Name
HASKELL HEALTHCARE CENTER
Provider Address
1504 NORTH FIRST ST
HASKELL, TX 79521
HASKELL, TX 79521
Provider Phone Number
9408648537
Provider SSA County
630
Provider County Name
Haskell
Ownership Type
For profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF THROCKMORTON
Date First Approved to Provide Medicare and Medicaid services
1992-04-06
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.00690
Reported LPN Staffing Hours per Resident per Day
0.86207
Reported RN Staffing Hours per Resident per Day
0.38448
Reported Licensed Staffing Hours per Resident per Day
1.24655
Reported Total Nurse Staffing Hours per Resident per Day
3.25345
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11552
Expected CNA Staffing Hours per Resident per Day
2.50052
Expected LPN Staffing Hours per Resident per Day
0.59243
Expected RN Staffing Hours per Resident per Day
0.90332
Expected Total Nurse Staffing Hours per Resident per Day
3.99626
Adjusted CNA Staffing Hours per Resident per Day
1.96933
Adjusted LPN Staffing Hours per Resident per Day
1.20777
Adjusted RN Staffing Hours per Resident per Day
0.31803
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28165
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
184
Cycle 1 Standard Survey Health Date
2014-06-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
184
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
16
Cycle 2 Standard Health Survey Date
2013-04-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-02-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
111.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
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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