Homestead Nursing And Rehabilitation Of Collinsvil - Collinsville Nursing Home
General Information
UPDATEFederal Provider Number
675206
Provider Name
HOMESTEAD NURSING AND REHABILITATION OF COLLINSVIL
Provider Address
501 N MAIN ST
COLLINSVILLE, TX 76233
COLLINSVILLE, TX 76233
Provider Phone Number
(903) 429-6126
Provider SSA County
564
Provider County Name
Grayson
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
88
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLLINSVILLE LONG TERM CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-12-06
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.34677
Reported LPN Staffing Hours per Resident per Day
0.83387
Reported RN Staffing Hours per Resident per Day
0.52258
Reported Licensed Staffing Hours per Resident per Day
1.35645
Reported Total Nurse Staffing Hours per Resident per Day
2.70322
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03710
Expected CNA Staffing Hours per Resident per Day
2.13794
Expected LPN Staffing Hours per Resident per Day
0.57652
Expected RN Staffing Hours per Resident per Day
0.88930
Expected Total Nurse Staffing Hours per Resident per Day
3.60376
Adjusted CNA Staffing Hours per Resident per Day
1.54568
Adjusted LPN Staffing Hours per Resident per Day
1.20051
Adjusted RN Staffing Hours per Resident per Day
0.43908
Adjusted Total Nurse Staffing Hours per Resident per Day
3.02363
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
40
Cycle 1 Standard Survey Health Date
2014-07-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
16
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
1
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
40
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
32.00000
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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