Mulberry Manor - Stephenville Nursing Home
General Information
UPDATEFederal Provider Number
455744
Provider Name
MULBERRY MANOR
Provider Address
1670 LINGLEVILLE RD
STEPHENVILLE, TX 76401
STEPHENVILLE, TX 76401
Provider Phone Number
(254) 968-2158
Provider SSA County
490
Provider County Name
Erath
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
102
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STEPHENVILLE NURSING OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1988-03-16
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
2
Overall Rating Footnote
Health Inspection Rating
3
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
1.00342
Reported LPN Staffing Hours per Resident per Day
1.71918
Reported RN Staffing Hours per Resident per Day
0.26164
Reported Licensed Staffing Hours per Resident per Day
1.98082
Reported Total Nurse Staffing Hours per Resident per Day
2.98424
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04178
Expected CNA Staffing Hours per Resident per Day
2.31512
Expected LPN Staffing Hours per Resident per Day
0.67320
Expected RN Staffing Hours per Resident per Day
1.37812
Expected Total Nurse Staffing Hours per Resident per Day
4.36644
Adjusted CNA Staffing Hours per Resident per Day
1.06348
Adjusted LPN Staffing Hours per Resident per Day
2.11960
Adjusted RN Staffing Hours per Resident per Day
0.14186
Adjusted Total Nurse Staffing Hours per Resident per Day
2.75491
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
40
Cycle 1 Standard Survey Health Date
2015-04-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
56
Cycle 2 Standard Health Survey Date
2014-06-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-08-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
3
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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