Liberty Health Care Center - Liberty Nursing Home

General Information

UPDATE
Federal Provider Number
675540
Provider Name
LIBERTY HEALTH CARE CENTER
Provider Address
1206 N TRAVIS ST
LIBERTY, TX 77575
Provider Phone Number
(936) 336-7247
Provider SSA County
757
Provider County Name
Liberty
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
118
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HSMTX/LIBERTY, LLC
Date First Approved to Provide Medicare and Medicaid services
1995-11-27
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.39825
Reported LPN Staffing Hours per Resident per Day
1.42544
Reported RN Staffing Hours per Resident per Day
0.45965
Reported Licensed Staffing Hours per Resident per Day
1.88509
Reported Total Nurse Staffing Hours per Resident per Day
4.28334
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.39107
Expected LPN Staffing Hours per Resident per Day
0.68709
Expected RN Staffing Hours per Resident per Day
1.23481
Expected Total Nurse Staffing Hours per Resident per Day
4.31297
Adjusted CNA Staffing Hours per Resident per Day
2.46107
Adjusted LPN Staffing Hours per Resident per Day
1.72192
Adjusted RN Staffing Hours per Resident per Day
0.27814
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00320
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2015-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-02-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2013-03-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
54.66700
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
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