Madison Medical Resort - Odessa Nursing Home
General Information
UPDATEFederal Provider Number
676348
Provider Name
MADISON MEDICAL RESORT
Provider Address
5001 OFFICE PARK DRIVE
ODESSA, TX 79762
ODESSA, TX 79762
Provider Phone Number
(432) 362-1800
Provider SSA County
451
Provider County Name
Ector
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHG ODESSA INC
Date First Approved to Provide Medicare and Medicaid services
2013-12-09
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.35510
Reported LPN Staffing Hours per Resident per Day
0.72092
Reported RN Staffing Hours per Resident per Day
0.82602
Reported Licensed Staffing Hours per Resident per Day
1.54694
Reported Total Nurse Staffing Hours per Resident per Day
3.90204
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06837
Expected CNA Staffing Hours per Resident per Day
2.69655
Expected LPN Staffing Hours per Resident per Day
0.77487
Expected RN Staffing Hours per Resident per Day
1.35897
Expected Total Nurse Staffing Hours per Resident per Day
4.83039
Adjusted CNA Staffing Hours per Resident per Day
2.14300
Adjusted LPN Staffing Hours per Resident per Day
0.77221
Adjusted RN Staffing Hours per Resident per Day
0.45417
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25620
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-02-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-09
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
38.40000
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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