Kings Manor Methodist Home - Hereford Nursing Home
General Information
UPDATEFederal Provider Number
676261
Provider Name
KINGS MANOR METHODIST HOME
Provider Address
400 RANGER DR
HEREFORD, TX 79045
HEREFORD, TX 79045
Provider Phone Number
(806) 364-0661
Provider SSA County
392
Provider County Name
Deaf Smith
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
78
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KINGS MANOR METHODIST RETIREMENT SYSTEM, INC
Date First Approved to Provide Medicare and Medicaid services
2010-08-20
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
3
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
2.31290
Reported LPN Staffing Hours per Resident per Day
0.85726
Reported RN Staffing Hours per Resident per Day
0.27661
Reported Licensed Staffing Hours per Resident per Day
1.13387
Reported Total Nurse Staffing Hours per Resident per Day
3.44677
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00323
Expected CNA Staffing Hours per Resident per Day
2.37723
Expected LPN Staffing Hours per Resident per Day
0.62624
Expected RN Staffing Hours per Resident per Day
0.84486
Expected Total Nurse Staffing Hours per Resident per Day
3.84833
Adjusted CNA Staffing Hours per Resident per Day
2.38730
Adjusted LPN Staffing Hours per Resident per Day
1.13618
Adjusted RN Staffing Hours per Resident per Day
0.24464
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61029
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-04-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
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
16
Cycle 2 Standard Health Survey Date
2013-03-13
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-05-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
60.00000
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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Nursiong Homes Nearby
Hereford Nursing & Rehabilitation
231 Kingwood St |
HEREFORD TX 79045 | 0.8 mile away