Memphis Convalescent Center - Memphis Nursing Home
General Information
UPDATEFederal Provider Number
675970
Provider Name
MEMPHIS CONVALESCENT CENTER
Provider Address
1415 N 18TH ST
MEMPHIS, TX 79245
MEMPHIS, TX 79245
Provider Phone Number
8062593566
Provider SSA County
583
Provider County Name
Hall
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEMPHIS I ENTERPRISES, LLC
Date First Approved to Provide Medicare and Medicaid services
2003-06-06
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
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
2.03421
Reported LPN Staffing Hours per Resident per Day
1.09605
Reported RN Staffing Hours per Resident per Day
0.70263
Reported Licensed Staffing Hours per Resident per Day
1.79868
Reported Total Nurse Staffing Hours per Resident per Day
3.83289
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01842
Expected CNA Staffing Hours per Resident per Day
2.54817
Expected LPN Staffing Hours per Resident per Day
0.68394
Expected RN Staffing Hours per Resident per Day
1.17532
Expected Total Nurse Staffing Hours per Resident per Day
4.40744
Adjusted CNA Staffing Hours per Resident per Day
1.95879
Adjusted LPN Staffing Hours per Resident per Day
1.33012
Adjusted RN Staffing Hours per Resident per Day
0.44669
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50544
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-10-30
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
12.00000
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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