Hico Nursing And Rehabilitation - Hico Nursing Home
General Information
UPDATEFederal Provider Number
675468
Provider Name
HICO NURSING AND REHABILITATION
Provider Address
712 RAILROAD AVE
HICO, TX 76457
HICO, TX 76457
Provider Phone Number
(254) 796-2111
Provider SSA County
590
Provider County Name
Hamilton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TICKNOR ENTERPRISES HICO, LLC
Date First Approved to Provide Medicare and Medicaid services
1995-03-29
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
3
Health Inspection Rating Footnote
QM Rating
1
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
2.13472
Reported LPN Staffing Hours per Resident per Day
0.82917
Reported RN Staffing Hours per Resident per Day
0.46389
Reported Licensed Staffing Hours per Resident per Day
1.29306
Reported Total Nurse Staffing Hours per Resident per Day
3.42778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01806
Expected CNA Staffing Hours per Resident per Day
2.64142
Expected LPN Staffing Hours per Resident per Day
0.69767
Expected RN Staffing Hours per Resident per Day
1.16526
Expected Total Nurse Staffing Hours per Resident per Day
4.50435
Adjusted CNA Staffing Hours per Resident per Day
1.98301
Adjusted LPN Staffing Hours per Resident per Day
0.98644
Adjusted RN Staffing Hours per Resident per Day
0.29746
Adjusted Total Nurse Staffing Hours per Resident per Day
3.06749
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
14
Cycle 2 Health Deficiency Score
164
Cycle 2 Standard Health Survey Date
2014-04-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
164
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-03-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
58.66700
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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