Kountze Nursing Center - Kountze Nursing Home
General Information
UPDATEFederal Provider Number
455594
Provider Name
KOUNTZE NURSING CENTER
Provider Address
604 FM 1293
KOUNTZE, TX 77625
KOUNTZE, TX 77625
Provider Phone Number
(409) 246-3418
Provider SSA County
600
Provider County Name
Hardin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC KOUNTZ OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1985-10-23
Continuing Care Retirement Community
N
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
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
1.81800
Reported LPN Staffing Hours per Resident per Day
0.88200
Reported RN Staffing Hours per Resident per Day
0.50600
Reported Licensed Staffing Hours per Resident per Day
1.38800
Reported Total Nurse Staffing Hours per Resident per Day
3.20600
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10900
Expected CNA Staffing Hours per Resident per Day
2.34131
Expected LPN Staffing Hours per Resident per Day
0.61120
Expected RN Staffing Hours per Resident per Day
0.96621
Expected Total Nurse Staffing Hours per Resident per Day
3.91872
Adjusted CNA Staffing Hours per Resident per Day
1.90527
Adjusted LPN Staffing Hours per Resident per Day
1.19775
Adjusted RN Staffing Hours per Resident per Day
0.39130
Adjusted Total Nurse Staffing Hours per Resident per Day
3.29778
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-04-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
16
Cycle 2 Standard Health Survey Date
2013-06-19
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
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
2012-07-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
9.33300
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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