Mshc The Waterton At Cowhorn Creek Llc - Texarkana Nursing Home
General Information
UPDATEFederal Provider Number
675949
Provider Name
MSHC THE WATERTON AT COWHORN CREEK LLC
Provider Address
5524 COWHORN CREEK
TEXARKANA, TX 75503
TEXARKANA, TX 75503
Provider Phone Number
(903) 223-1188
Provider SSA County
170
Provider County Name
Bowie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
76
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MSHC THE WATERTON AT COWHORN CREEK, LLC
Date First Approved to Provide Medicare and Medicaid services
2002-12-16
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
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.30755
Reported LPN Staffing Hours per Resident per Day
1.61698
Reported RN Staffing Hours per Resident per Day
0.71321
Reported Licensed Staffing Hours per Resident per Day
2.33019
Reported Total Nurse Staffing Hours per Resident per Day
4.63774
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02736
Expected CNA Staffing Hours per Resident per Day
2.54268
Expected LPN Staffing Hours per Resident per Day
0.71360
Expected RN Staffing Hours per Resident per Day
1.21319
Expected Total Nurse Staffing Hours per Resident per Day
4.46947
Adjusted CNA Staffing Hours per Resident per Day
2.22680
Adjusted LPN Staffing Hours per Resident per Day
1.88072
Adjusted RN Staffing Hours per Resident per Day
0.43926
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18266
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-11-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-11-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-12-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
67.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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