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Kristi Lee Manor - Colorado City Nursing Home

General Information

UPDATE
Federal Provider Number
676027
Provider Name
KRISTI LEE MANOR
Provider Address
1941 CHESTNUT
COLORADO CITY, TX 79512
Provider Phone Number
3257285247
Provider SSA County
797
Provider County Name
Mitchell
Ownership Type
Government - Hospital district
Number of Certified Beds
110
Number of Residents in Certified Beds
57
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
2004-08-04
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
3
Health Inspection Rating Footnote
QM Rating
2
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
1.68158
Reported LPN Staffing Hours per Resident per Day
0.88158
Reported RN Staffing Hours per Resident per Day
0.19737
Reported Licensed Staffing Hours per Resident per Day
1.07895
Reported Total Nurse Staffing Hours per Resident per Day
2.76053
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.10345
Expected LPN Staffing Hours per Resident per Day
0.50429
Expected RN Staffing Hours per Resident per Day
0.67007
Expected Total Nurse Staffing Hours per Resident per Day
3.27781
Adjusted CNA Staffing Hours per Resident per Day
1.96158
Adjusted LPN Staffing Hours per Resident per Day
1.45096
Adjusted RN Staffing Hours per Resident per Day
0.22009
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39477
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-12-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2013-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
44.66700
Number of Facility Reported Incidents
0
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

Nursiong Homes Nearby

Valley Fair Lodge

1541 Chestnut St | COLORADO CITY TX 79512 | 0.5 mile away

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