Marine Creek Nursing And Rehabilitation Lp - Fort Worth Nursing Home
General Information
UPDATEFederal Provider Number
675779
Provider Name
MARINE CREEK NURSING AND REHABILITATION LP
Provider Address
3600 ANGLE AVE
FORT WORTH, TX 76106
FORT WORTH, TX 76106
Provider Phone Number
(817) 624-6164
Provider SSA County
910
Provider County Name
Tarrant
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
170
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARINE CREEK NURSING AND REHABILITATION LP
Date First Approved to Provide Medicare and Medicaid services
1999-02-22
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.31111
Reported LPN Staffing Hours per Resident per Day
1.10000
Reported RN Staffing Hours per Resident per Day
0.39398
Reported Licensed Staffing Hours per Resident per Day
1.49398
Reported Total Nurse Staffing Hours per Resident per Day
3.80509
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05046
Expected CNA Staffing Hours per Resident per Day
2.18910
Expected LPN Staffing Hours per Resident per Day
0.66575
Expected RN Staffing Hours per Resident per Day
1.18188
Expected Total Nurse Staffing Hours per Resident per Day
4.03673
Adjusted CNA Staffing Hours per Resident per Day
2.59046
Adjusted LPN Staffing Hours per Resident per Day
1.37138
Adjusted RN Staffing Hours per Resident per Day
0.24908
Adjusted Total Nurse Staffing Hours per Resident per Day
3.79959
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-04-10
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
335
Cycle 2 Standard Health Survey Date
2014-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
335
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-02-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
138.33300
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
31388
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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