Mesquite Tree Nursing Center - Mesquite Nursing Home
General Information
UPDATEFederal Provider Number
675033
Provider Name
MESQUITE TREE NURSING CENTER
Provider Address
434 PAZA DR
MESQUITE, TX 75149
MESQUITE, TX 75149
Provider Phone Number
9722886489
Provider SSA County
390
Provider County Name
Dallas
Ownership Type
For profit - Individual
Number of Certified Beds
143
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MESQUITE NH SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1992-03-01
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
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
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
2.25000
Reported LPN Staffing Hours per Resident per Day
0.92807
Reported RN Staffing Hours per Resident per Day
0.29035
Reported Licensed Staffing Hours per Resident per Day
1.21842
Reported Total Nurse Staffing Hours per Resident per Day
3.46842
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01491
Expected CNA Staffing Hours per Resident per Day
2.24273
Expected LPN Staffing Hours per Resident per Day
0.66532
Expected RN Staffing Hours per Resident per Day
1.15268
Expected Total Nurse Staffing Hours per Resident per Day
4.06073
Adjusted CNA Staffing Hours per Resident per Day
2.46165
Adjusted LPN Staffing Hours per Resident per Day
1.15779
Adjusted RN Staffing Hours per Resident per Day
0.18821
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44294
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-12-04
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
56
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
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-10-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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