Magnolia Manor Nursing Home - Jefferson Nursing Home
General Information
UPDATEFederal Provider Number
676171
Provider Name
MAGNOLIA MANOR NURSING HOME
Provider Address
510 E BONHAM
JEFFERSON, TX 75657
JEFFERSON, TX 75657
Provider Phone Number
(903) 665-3903
Provider SSA County
783
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAGNOLIA MANOR MANAGEMENT INC
Date First Approved to Provide Medicare and Medicaid services
2007-09-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.80435
Reported LPN Staffing Hours per Resident per Day
1.69457
Reported RN Staffing Hours per Resident per Day
0.43261
Reported Licensed Staffing Hours per Resident per Day
2.12717
Reported Total Nurse Staffing Hours per Resident per Day
4.93153
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00978
Expected CNA Staffing Hours per Resident per Day
2.25195
Expected LPN Staffing Hours per Resident per Day
0.57182
Expected RN Staffing Hours per Resident per Day
0.93782
Expected Total Nurse Staffing Hours per Resident per Day
3.76159
Adjusted CNA Staffing Hours per Resident per Day
3.05559
Adjusted LPN Staffing Hours per Resident per Day
2.45968
Adjusted RN Staffing Hours per Resident per Day
0.34468
Adjusted Total Nurse Staffing Hours per Resident per Day
5.28461
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
132
Cycle 2 Standard Health Survey Date
2014-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
132
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2013-03-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
110.66700
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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Nursiong Homes Nearby
Pine Hill Nursing And Rehabilitation
1307 Martin Luther King Dr |
JEFFERSON TX 75657 | 1 mile away