Henderson Health & Rehabilitation Center - Henderson Nursing Home
General Information
UPDATEFederal Provider Number
455986
Provider Name
HENDERSON HEALTH & REHABILITATION CENTER
Provider Address
1010 W MAIN ST
HENDERSON, TX 75652
HENDERSON, TX 75652
Provider Phone Number
(903) 657-6513
Provider SSA County
881
Provider County Name
Rusk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
173
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HENDERSON SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1992-01-20
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
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
2.00433
Reported LPN Staffing Hours per Resident per Day
0.90817
Reported RN Staffing Hours per Resident per Day
0.29087
Reported Licensed Staffing Hours per Resident per Day
1.19904
Reported Total Nurse Staffing Hours per Resident per Day
3.20337
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05577
Expected CNA Staffing Hours per Resident per Day
2.35529
Expected LPN Staffing Hours per Resident per Day
0.67566
Expected RN Staffing Hours per Resident per Day
1.22791
Expected Total Nurse Staffing Hours per Resident per Day
4.25886
Adjusted CNA Staffing Hours per Resident per Day
2.08807
Adjusted LPN Staffing Hours per Resident per Day
1.11563
Adjusted RN Staffing Hours per Resident per Day
0.17700
Adjusted Total Nurse Staffing Hours per Resident per Day
3.03191
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-11-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-12-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
73.33300
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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