Lbj Medical Center - Johnson City Nursing Home
General Information
UPDATEFederal Provider Number
45F207
Provider Name
LBJ MEDICAL CENTER
Provider Address
206 HALEY RD
JOHNSON CITY, TX 78636
JOHNSON CITY, TX 78636
Provider Phone Number
(830) 868-4093
Provider SSA County
140
Provider County Name
Blanco
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
58
Number of Residents in Certified Beds
38
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1988-11-04
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.36711
Reported LPN Staffing Hours per Resident per Day
0.57237
Reported RN Staffing Hours per Resident per Day
0.21053
Reported Licensed Staffing Hours per Resident per Day
0.78289
Reported Total Nurse Staffing Hours per Resident per Day
3.15001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00789
Expected CNA Staffing Hours per Resident per Day
2.38329
Expected LPN Staffing Hours per Resident per Day
0.55959
Expected RN Staffing Hours per Resident per Day
0.69212
Expected Total Nurse Staffing Hours per Resident per Day
3.63500
Adjusted CNA Staffing Hours per Resident per Day
2.43704
Adjusted LPN Staffing Hours per Resident per Day
0.84895
Adjusted RN Staffing Hours per Resident per Day
0.22729
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49309
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-04-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
116
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-02-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
80.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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