Palo Pinto Nursing Center - Mineral Wells Nursing Home
General Information
UPDATEFederal Provider Number
455961
Provider Name
PALO PINTO NURSING CENTER
Provider Address
200 SOUTHWEST 25TH AVE
MINERAL WELLS, TX 76067
MINERAL WELLS, TX 76067
Provider Phone Number
9403257813
Provider SSA County
841
Provider County Name
Palo Pinto
Ownership Type
For profit - Partnership
Number of Certified Beds
106
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PALO PINTO SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1991-11-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
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
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
1.80486
Reported LPN Staffing Hours per Resident per Day
0.75000
Reported RN Staffing Hours per Resident per Day
0.49097
Reported Licensed Staffing Hours per Resident per Day
1.24097
Reported Total Nurse Staffing Hours per Resident per Day
3.04583
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08819
Expected CNA Staffing Hours per Resident per Day
2.25387
Expected LPN Staffing Hours per Resident per Day
0.64973
Expected RN Staffing Hours per Resident per Day
1.14597
Expected Total Nurse Staffing Hours per Resident per Day
4.04957
Adjusted CNA Staffing Hours per Resident per Day
1.96488
Adjusted LPN Staffing Hours per Resident per Day
0.95808
Adjusted RN Staffing Hours per Resident per Day
0.32012
Adjusted Total Nurse Staffing Hours per Resident per Day
3.03179
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-09-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
807
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
807
Total Weighted Health Survey Score
186.50000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
120000
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Mineral Wells Nursing & Rehabilitation
316 Sw 25th Ave |
MINERAL WELLS TX 76067 | 0.2 mile away
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