Holland Lake Nursing Center Ltd - Weatherford Nursing Home
General Information
UPDATEFederal Provider Number
675633
Provider Name
HOLLAND LAKE NURSING CENTER LTD
Provider Address
1201 HOLLAND LAKE DR
WEATHERFORD, TX 76086
WEATHERFORD, TX 76086
Provider Phone Number
(817) 598-0160
Provider SSA County
843
Provider County Name
Parker
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOLLAND LAKE NURSING CENTER LTD
Date First Approved to Provide Medicare and Medicaid services
1996-09-18
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
4
Health Inspection Rating Footnote
QM Rating
4
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
2.10941
Reported LPN Staffing Hours per Resident per Day
1.00149
Reported RN Staffing Hours per Resident per Day
0.24554
Reported Licensed Staffing Hours per Resident per Day
1.24703
Reported Total Nurse Staffing Hours per Resident per Day
3.35644
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07871
Expected CNA Staffing Hours per Resident per Day
2.60244
Expected LPN Staffing Hours per Resident per Day
0.61603
Expected RN Staffing Hours per Resident per Day
0.92576
Expected Total Nurse Staffing Hours per Resident per Day
4.14423
Adjusted CNA Staffing Hours per Resident per Day
1.98885
Adjusted LPN Staffing Hours per Resident per Day
1.34934
Adjusted RN Staffing Hours per Resident per Day
0.19818
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26466
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
32
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
16
Cycle 2 Standard Health Survey Date
2013-08-23
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
20
Cycle 3 Standard Health Survey Date
2012-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
24.66700
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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