Palma Real - Mathis Nursing Home
General Information
UPDATEFederal Provider Number
675312
Provider Name
PALMA REAL
Provider Address
1220 LOOP 459
MATHIS, TX 78368
MATHIS, TX 78368
Provider Phone Number
(361) 547-3318
Provider SSA County
885
Provider County Name
San Patricio
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
90
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MATHIS HEALTH CARE CENTER LTD. CO
Date First Approved to Provide Medicare and Medicaid services
1994-05-11
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
1
Health Inspection Rating Footnote
QM Rating
5
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
1.61410
Reported LPN Staffing Hours per Resident per Day
0.68590
Reported RN Staffing Hours per Resident per Day
0.47628
Reported Licensed Staffing Hours per Resident per Day
1.16218
Reported Total Nurse Staffing Hours per Resident per Day
2.77628
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01090
Expected CNA Staffing Hours per Resident per Day
2.42197
Expected LPN Staffing Hours per Resident per Day
0.64703
Expected RN Staffing Hours per Resident per Day
1.05032
Expected Total Nurse Staffing Hours per Resident per Day
4.11932
Adjusted CNA Staffing Hours per Resident per Day
1.63525
Adjusted LPN Staffing Hours per Resident per Day
0.87986
Adjusted RN Staffing Hours per Resident per Day
0.33883
Adjusted Total Nurse Staffing Hours per Resident per Day
2.71669
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
568
Cycle 2 Standard Health Survey Date
2014-03-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
568
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
72
Cycle 3 Standard Health Survey Date
2013-02-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
233.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
8
Number of Fines
2
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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