Oak Manor Nursing Home - Nacogdoches Nursing Home
General Information
UPDATEFederal Provider Number
676324
Provider Name
OAK MANOR NURSING HOME
Provider Address
1200 FERGUSON ST
NACOGDOCHES, TX 75961
NACOGDOCHES, TX 75961
Provider Phone Number
(936) 564-7359
Provider SSA County
810
Provider County Name
Nacogdoches
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
60
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OLD TOWN HEALTH CARE, LTD
Date First Approved to Provide Medicare and Medicaid services
2012-11-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
2.23778
Reported LPN Staffing Hours per Resident per Day
0.64333
Reported RN Staffing Hours per Resident per Day
0.48889
Reported Licensed Staffing Hours per Resident per Day
1.13222
Reported Total Nurse Staffing Hours per Resident per Day
3.37000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01556
Expected CNA Staffing Hours per Resident per Day
2.26087
Expected LPN Staffing Hours per Resident per Day
0.66742
Expected RN Staffing Hours per Resident per Day
1.17693
Expected Total Nurse Staffing Hours per Resident per Day
4.10522
Adjusted CNA Staffing Hours per Resident per Day
2.42864
Adjusted LPN Staffing Hours per Resident per Day
0.80004
Adjusted RN Staffing Hours per Resident per Day
0.31038
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30899
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
361
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
361
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-09-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-11-01
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
204.50000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
6
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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