Heritage Convalescent Center - Amarillo Nursing Home
General Information
UPDATEFederal Provider Number
455480
Provider Name
HERITAGE CONVALESCENT CENTER
Provider Address
1009 CLYDE ST
AMARILLO, TX 79106
AMARILLO, TX 79106
Provider Phone Number
(806) 352-5295
Provider SSA County
860
Provider County Name
Potter
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
116
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE CONVALESCENT CENTER, LTD.
Date First Approved to Provide Medicare and Medicaid services
1983-08-25
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.13462
Reported LPN Staffing Hours per Resident per Day
1.21538
Reported RN Staffing Hours per Resident per Day
0.42308
Reported Licensed Staffing Hours per Resident per Day
1.63846
Reported Total Nurse Staffing Hours per Resident per Day
3.77308
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13077
Expected CNA Staffing Hours per Resident per Day
2.30654
Expected LPN Staffing Hours per Resident per Day
0.60980
Expected RN Staffing Hours per Resident per Day
1.02187
Expected Total Nurse Staffing Hours per Resident per Day
3.93821
Adjusted CNA Staffing Hours per Resident per Day
2.27081
Adjusted LPN Staffing Hours per Resident per Day
1.65424
Adjusted RN Staffing Hours per Resident per Day
0.30936
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86188
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2014-07-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-07-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
62.00000
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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