Kingsland Hills Care Center - Kingsland Nursing Home
General Information
UPDATEFederal Provider Number
676035
Provider Name
KINGSLAND HILLS CARE CENTER
Provider Address
3727 W RANCH RD 1431
KINGSLAND, TX 78639
KINGSLAND, TX 78639
Provider Phone Number
(325) 388-4538
Provider SSA County
761
Provider County Name
Llano
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
122
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PHPM MISSION CARE CENTERS-NEW COVENANT, LP
Date First Approved to Provide Medicare and Medicaid services
2004-08-10
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
3
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
2.53846
Reported LPN Staffing Hours per Resident per Day
1.21077
Reported RN Staffing Hours per Resident per Day
0.59154
Reported Licensed Staffing Hours per Resident per Day
1.80231
Reported Total Nurse Staffing Hours per Resident per Day
4.34077
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04385
Expected CNA Staffing Hours per Resident per Day
2.64590
Expected LPN Staffing Hours per Resident per Day
0.67400
Expected RN Staffing Hours per Resident per Day
1.11838
Expected Total Nurse Staffing Hours per Resident per Day
4.43829
Adjusted CNA Staffing Hours per Resident per Day
2.35406
Adjusted LPN Staffing Hours per Resident per Day
1.49100
Adjusted RN Staffing Hours per Resident per Day
0.39521
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94233
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-06-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
86.00000
Number of Facility Reported Incidents
2
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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