Heritage Oaks - Arlington Nursing Home
General Information
UPDATEFederal Provider Number
675112
Provider Name
HERITAGE OAKS
Provider Address
1112 GIBBINS RD
ARLINGTON, TX 76011
ARLINGTON, TX 76011
Provider Phone Number
(817) 274-2584
Provider SSA County
910
Provider County Name
Tarrant
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
204
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THI OF TEXAS AT ARLINGTON II, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-02-10
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
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
2.08598
Reported LPN Staffing Hours per Resident per Day
0.90841
Reported RN Staffing Hours per Resident per Day
0.60467
Reported Licensed Staffing Hours per Resident per Day
1.51308
Reported Total Nurse Staffing Hours per Resident per Day
3.59906
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08131
Expected CNA Staffing Hours per Resident per Day
2.48469
Expected LPN Staffing Hours per Resident per Day
0.77839
Expected RN Staffing Hours per Resident per Day
1.36435
Expected Total Nurse Staffing Hours per Resident per Day
4.62744
Adjusted CNA Staffing Hours per Resident per Day
2.05996
Adjusted LPN Staffing Hours per Resident per Day
0.96864
Adjusted RN Staffing Hours per Resident per Day
0.33115
Adjusted Total Nurse Staffing Hours per Resident per Day
3.13509
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-03-06
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
751
Cycle 3 Standard Health Survey Date
2013-03-15
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
751
Total Weighted Health Survey Score
135.83300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
7
Number of Fines
2
Total Amount of Fines in Dollars
94380
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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