Mineral Wells Nursing & Rehabilitation - Mineral Wells Nursing Home
General Information
UPDATEFederal Provider Number
455570
Provider Name
MINERAL WELLS NURSING & REHABILITATION
Provider Address
316 SW 25TH AVE
MINERAL WELLS, TX 76067
MINERAL WELLS, TX 76067
Provider Phone Number
9403251358
Provider SSA County
841
Provider County Name
Palo Pinto
Ownership Type
For profit - Individual
Number of Certified Beds
109
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MINERAL WELLS I ENTERPRISES, LLC
Date First Approved to Provide Medicare and Medicaid services
1985-10-08
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
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
2.77785
Reported LPN Staffing Hours per Resident per Day
0.63354
Reported RN Staffing Hours per Resident per Day
0.47278
Reported Licensed Staffing Hours per Resident per Day
1.10633
Reported Total Nurse Staffing Hours per Resident per Day
3.88417
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15127
Expected CNA Staffing Hours per Resident per Day
2.45533
Expected LPN Staffing Hours per Resident per Day
0.71145
Expected RN Staffing Hours per Resident per Day
1.28002
Expected Total Nurse Staffing Hours per Resident per Day
4.44679
Adjusted CNA Staffing Hours per Resident per Day
2.77600
Adjusted LPN Staffing Hours per Resident per Day
0.73911
Adjusted RN Staffing Hours per Resident per Day
0.27598
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52090
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
16
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-06-28
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
2
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Palo Pinto Nursing Center
200 Southwest 25th Ave |
MINERAL WELLS TX 76067 | 0.2 mile away
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