Park Haven Nursing And Rehabilitation - Greenville Nursing Home
General Information
UPDATEFederal Provider Number
675367
Provider Name
PARK HAVEN NURSING AND REHABILITATION
Provider Address
3500 PARK ST
GREENVILLE, TX 75401
GREENVILLE, TX 75401
Provider Phone Number
(903) 455-2220
Provider SSA County
670
Provider County Name
Hunt
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
103
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GREENVILLE I ENTERPRISES LLC
Date First Approved to Provide Medicare and Medicaid services
1994-06-10
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.54113
Reported LPN Staffing Hours per Resident per Day
0.75000
Reported RN Staffing Hours per Resident per Day
0.50645
Reported Licensed Staffing Hours per Resident per Day
1.25645
Reported Total Nurse Staffing Hours per Resident per Day
3.79758
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00726
Expected CNA Staffing Hours per Resident per Day
2.37722
Expected LPN Staffing Hours per Resident per Day
0.63552
Expected RN Staffing Hours per Resident per Day
1.01679
Expected Total Nurse Staffing Hours per Resident per Day
4.02954
Adjusted CNA Staffing Hours per Resident per Day
2.62288
Adjusted LPN Staffing Hours per Resident per Day
0.97951
Adjusted RN Staffing Hours per Resident per Day
0.37217
Adjusted Total Nurse Staffing Hours per Resident per Day
3.79886
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
16.00000
Number of Facility Reported Incidents
0
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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