Northgate Plaza Nursing & Rehabilitation Center - Irving Nursing Home
General Information
UPDATEFederal Provider Number
675967
Provider Name
NORTHGATE PLAZA NURSING & REHABILITATION CENTER
Provider Address
2101 NORTHGATE DR
IRVING, TX 75062
IRVING, TX 75062
Provider Phone Number
(972) 255-4460
Provider SSA County
390
Provider County Name
Dallas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MERIDIAN IRVING SNF, LP
Date First Approved to Provide Medicare and Medicaid services
2003-05-21
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.08737
Reported LPN Staffing Hours per Resident per Day
0.91684
Reported RN Staffing Hours per Resident per Day
0.55684
Reported Licensed Staffing Hours per Resident per Day
1.47368
Reported Total Nurse Staffing Hours per Resident per Day
3.56105
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12053
Expected CNA Staffing Hours per Resident per Day
2.45329
Expected LPN Staffing Hours per Resident per Day
0.72192
Expected RN Staffing Hours per Resident per Day
1.27608
Expected Total Nurse Staffing Hours per Resident per Day
4.45129
Adjusted CNA Staffing Hours per Resident per Day
2.08772
Adjusted LPN Staffing Hours per Resident per Day
1.05410
Adjusted RN Staffing Hours per Resident per Day
0.32605
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22474
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-04-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-04-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
9
Number of Fines
2
Total Amount of Fines in Dollars
4600
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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