Marbridge Villa - Manchaca Nursing Home
General Information
UPDATEFederal Provider Number
675923
Provider Name
MARBRIDGE VILLA
Provider Address
2504 BLISS SPILLAR ROAD
MANCHACA, TX 78652
MANCHACA, TX 78652
Provider Phone Number
(512) 282-1811
Provider SSA County
940
Provider County Name
Travis
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARBRIDGE FOUNDATION INC.
Date First Approved to Provide Medicare and Medicaid services
2002-07-30
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
QM Rating Footnote
Staffing Rating
2
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
2.42105
Reported LPN Staffing Hours per Resident per Day
0.75197
Reported RN Staffing Hours per Resident per Day
0.40592
Reported Licensed Staffing Hours per Resident per Day
1.15789
Reported Total Nurse Staffing Hours per Resident per Day
3.57894
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07500
Expected CNA Staffing Hours per Resident per Day
2.33118
Expected LPN Staffing Hours per Resident per Day
0.65113
Expected RN Staffing Hours per Resident per Day
1.02111
Expected Total Nurse Staffing Hours per Resident per Day
4.00342
Adjusted CNA Staffing Hours per Resident per Day
2.54829
Adjusted LPN Staffing Hours per Resident per Day
0.95854
Adjusted RN Staffing Hours per Resident per Day
0.29703
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60350
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
66.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
2275
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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