Monterey Care Center - Wichita Falls Nursing Home
General Information
UPDATEFederal Provider Number
675852
Provider Name
MONTEREY CARE CENTER
Provider Address
3101 10TH ST
WICHITA FALLS, TX 76309
WICHITA FALLS, TX 76309
Provider Phone Number
(940) 766-0281
Provider SSA County
960
Provider County Name
Wichita
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
91
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MONTEREY SNF LLC
Date First Approved to Provide Medicare and Medicaid services
2000-09-14
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
2
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
1.78228
Reported LPN Staffing Hours per Resident per Day
1.06519
Reported RN Staffing Hours per Resident per Day
0.38354
Reported Licensed Staffing Hours per Resident per Day
1.44873
Reported Total Nurse Staffing Hours per Resident per Day
3.23101
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09051
Expected CNA Staffing Hours per Resident per Day
2.30254
Expected LPN Staffing Hours per Resident per Day
0.66680
Expected RN Staffing Hours per Resident per Day
1.28265
Expected Total Nurse Staffing Hours per Resident per Day
4.25199
Adjusted CNA Staffing Hours per Resident per Day
1.89928
Adjusted LPN Staffing Hours per Resident per Day
1.32590
Adjusted RN Staffing Hours per Resident per Day
0.22343
Adjusted Total Nurse Staffing Hours per Resident per Day
3.06301
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
4
Cycle 1 Standard Survey Health Date
2014-05-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-05-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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