Jeffrey Place Healthcare Center - Waco Nursing Home
General Information
UPDATEFederal Provider Number
455489
Provider Name
JEFFREY PLACE HEALTHCARE CENTER
Provider Address
820 JEFFREY DR
WACO, TX 76710
WACO, TX 76710
Provider Phone Number
(254) 772-9480
Provider SSA County
780
Provider County Name
Mc Lennan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1984-06-22
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
2.04701
Reported LPN Staffing Hours per Resident per Day
0.73060
Reported RN Staffing Hours per Resident per Day
0.45597
Reported Licensed Staffing Hours per Resident per Day
1.18657
Reported Total Nurse Staffing Hours per Resident per Day
3.23358
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01045
Expected CNA Staffing Hours per Resident per Day
2.22331
Expected LPN Staffing Hours per Resident per Day
0.70347
Expected RN Staffing Hours per Resident per Day
1.35978
Expected Total Nurse Staffing Hours per Resident per Day
4.28656
Adjusted CNA Staffing Hours per Resident per Day
2.25913
Adjusted LPN Staffing Hours per Resident per Day
0.86201
Adjusted RN Staffing Hours per Resident per Day
0.25056
Adjusted Total Nurse Staffing Hours per Resident per Day
3.04072
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
193
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
193
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-12-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
126.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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