Homeplace Manor - Hamlin Nursing Home
General Information
UPDATEFederal Provider Number
675058
Provider Name
HOMEPLACE MANOR
Provider Address
425 SW AVE F
HAMLIN, TX 79520
HAMLIN, TX 79520
Provider Phone Number
(325) 576-3643
Provider SSA County
721
Provider County Name
Jones
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
60
Number of Residents in Certified Beds
21
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STAMFORD HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1992-06-10
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.68571
Reported LPN Staffing Hours per Resident per Day
0.99524
Reported RN Staffing Hours per Resident per Day
0.54286
Reported Licensed Staffing Hours per Resident per Day
1.53810
Reported Total Nurse Staffing Hours per Resident per Day
3.22381
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01667
Expected CNA Staffing Hours per Resident per Day
2.58218
Expected LPN Staffing Hours per Resident per Day
0.62855
Expected RN Staffing Hours per Resident per Day
0.77449
Expected Total Nurse Staffing Hours per Resident per Day
3.98522
Adjusted CNA Staffing Hours per Resident per Day
1.60184
Adjusted LPN Staffing Hours per Resident per Day
1.31420
Adjusted RN Staffing Hours per Resident per Day
0.52373
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26076
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
20
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
24
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
20.66700
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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