Kindred Transitional Care And Rehabilitation-mansf - Mansfield Nursing Home

General Information

UPDATE
Federal Provider Number
676143
Provider Name
KINDRED TRANSITIONAL CARE AND REHABILITATION-MANSF
Provider Address
301 N MILLER RD
MANSFIELD, TX 76063
Provider Phone Number
8172764800
Provider SSA County
910
Provider County Name
Tarrant
Ownership Type
For profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
105
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
2007-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
2.35571
Reported LPN Staffing Hours per Resident per Day
0.95571
Reported RN Staffing Hours per Resident per Day
0.67429
Reported Licensed Staffing Hours per Resident per Day
1.63000
Reported Total Nurse Staffing Hours per Resident per Day
3.98571
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10905
Expected CNA Staffing Hours per Resident per Day
2.66774
Expected LPN Staffing Hours per Resident per Day
0.79086
Expected RN Staffing Hours per Resident per Day
1.35476
Expected Total Nurse Staffing Hours per Resident per Day
4.81336
Adjusted CNA Staffing Hours per Resident per Day
2.16671
Adjusted LPN Staffing Hours per Resident per Day
1.00301
Adjusted RN Staffing Hours per Resident per Day
0.37190
Adjusted Total Nurse Staffing Hours per Resident per Day
3.33779
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
128
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
128
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
86.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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