Maggie Johnson Nursing Center - Austin Nursing Home
General Information
UPDATEFederal Provider Number
45E386
Provider Name
MAGGIE JOHNSON NURSING CENTER
Provider Address
3406 E 17TH ST
AUSTIN, TX 78721
AUSTIN, TX 78721
Provider Phone Number
5129264760
Provider SSA County
940
Provider County Name
Travis
Ownership Type
For profit - Individual
Number of Certified Beds
54
Number of Residents in Certified Beds
51
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
1974-03-31
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
1.82157
Reported LPN Staffing Hours per Resident per Day
0.61176
Reported RN Staffing Hours per Resident per Day
0.57353
Reported Licensed Staffing Hours per Resident per Day
1.18529
Reported Total Nurse Staffing Hours per Resident per Day
3.00686
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05588
Expected CNA Staffing Hours per Resident per Day
2.09280
Expected LPN Staffing Hours per Resident per Day
0.58193
Expected RN Staffing Hours per Resident per Day
0.85064
Expected Total Nurse Staffing Hours per Resident per Day
3.52537
Adjusted CNA Staffing Hours per Resident per Day
2.13570
Adjusted LPN Staffing Hours per Resident per Day
0.87254
Adjusted RN Staffing Hours per Resident per Day
0.50379
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43804
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
216
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
108
Cycle 1 Total Health Score
324
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
140
Cycle 2 Standard Health Survey Date
2013-10-17
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
218.66700
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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