Highland Pines Nursing Home Ltd - Longview Nursing Home
General Information
UPDATEFederal Provider Number
675133
Provider Name
HIGHLAND PINES NURSING HOME LTD
Provider Address
1100 N 4TH ST
LONGVIEW, TX 75601
LONGVIEW, TX 75601
Provider Phone Number
(903) 753-7661
Provider SSA County
570
Provider County Name
Gregg
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
161
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HIGHLAND PINES NURSING HOME, LTD
Date First Approved to Provide Medicare and Medicaid services
1993-05-01
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
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
2.09400
Reported LPN Staffing Hours per Resident per Day
1.01700
Reported RN Staffing Hours per Resident per Day
0.50900
Reported Licensed Staffing Hours per Resident per Day
1.52600
Reported Total Nurse Staffing Hours per Resident per Day
3.62000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06450
Expected CNA Staffing Hours per Resident per Day
2.42503
Expected LPN Staffing Hours per Resident per Day
0.70062
Expected RN Staffing Hours per Resident per Day
1.29447
Expected Total Nurse Staffing Hours per Resident per Day
4.42011
Adjusted CNA Staffing Hours per Resident per Day
2.11876
Adjusted LPN Staffing Hours per Resident per Day
1.20481
Adjusted RN Staffing Hours per Resident per Day
0.29381
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30124
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
229
Cycle 1 Standard Survey Health Date
2014-12-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
229
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-12-05
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
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
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
125.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
4000
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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