Keller Oaks Healthcare Center - Keller Nursing Home
General Information
UPDATEFederal Provider Number
676023
Provider Name
KELLER OAKS HEALTHCARE CENTER
Provider Address
8703 DAVIS BLVD
KELLER, TX 76248
KELLER, TX 76248
Provider Phone Number
(817) 577-9999
Provider SSA County
910
Provider County Name
Tarrant
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
146
Number of Residents in Certified Beds
133
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINNACLE HEALTH FACILITIES OF TEXAS III, LP
Date First Approved to Provide Medicare and Medicaid services
2004-06-14
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
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
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
1.77895
Reported LPN Staffing Hours per Resident per Day
1.01391
Reported RN Staffing Hours per Resident per Day
0.45752
Reported Licensed Staffing Hours per Resident per Day
1.47143
Reported Total Nurse Staffing Hours per Resident per Day
3.25038
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04286
Expected CNA Staffing Hours per Resident per Day
2.57156
Expected LPN Staffing Hours per Resident per Day
0.69621
Expected RN Staffing Hours per Resident per Day
1.14735
Expected Total Nurse Staffing Hours per Resident per Day
4.41511
Adjusted CNA Staffing Hours per Resident per Day
1.69742
Adjusted LPN Staffing Hours per Resident per Day
1.20875
Adjusted RN Staffing Hours per Resident per Day
0.29796
Adjusted Total Nurse Staffing Hours per Resident per Day
2.96752
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-07-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
2013-08-30
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
14.66700
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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