Mansfield Nursing And Rehabilitation Lp - Mansfield Nursing Home
General Information
UPDATEFederal Provider Number
675792
Provider Name
MANSFIELD NURSING AND REHABILITATION LP
Provider Address
1402 E BROAD ST
MANSFIELD, TX 76063
MANSFIELD, TX 76063
Provider Phone Number
8174772176
Provider SSA County
910
Provider County Name
Tarrant
Ownership Type
For profit - Corporation
Number of Certified Beds
61
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANSFIELD NURSING AND REHABILITATION LP
Date First Approved to Provide Medicare and Medicaid services
1999-06-09
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
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
1.80820
Reported LPN Staffing Hours per Resident per Day
1.09754
Reported RN Staffing Hours per Resident per Day
0.77377
Reported Licensed Staffing Hours per Resident per Day
1.87131
Reported Total Nurse Staffing Hours per Resident per Day
3.67951
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09344
Expected CNA Staffing Hours per Resident per Day
2.43857
Expected LPN Staffing Hours per Resident per Day
0.69819
Expected RN Staffing Hours per Resident per Day
1.16053
Expected Total Nurse Staffing Hours per Resident per Day
4.29728
Adjusted CNA Staffing Hours per Resident per Day
1.81942
Adjusted LPN Staffing Hours per Resident per Day
1.30475
Adjusted RN Staffing Hours per Resident per Day
0.49819
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45142
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
399
Cycle 2 Standard Health Survey Date
2013-10-23
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
143.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
101010
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
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Estates Healthcare And Rehabilitation Center
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