Park Manor Health Care & Rehabilitation - De Soto Nursing Home
General Information
UPDATEFederal Provider Number
455727
Provider Name
PARK MANOR HEALTH CARE & REHABILITATION
Provider Address
207 E PARKERVILLE RD
DE SOTO, TX 75115
DE SOTO, TX 75115
Provider Phone Number
(972) 230-1000
Provider SSA County
390
Provider County Name
Dallas
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
150
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTHWEST LTC--PARK MANOR II, LTD.
Date First Approved to Provide Medicare and Medicaid services
1987-11-12
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
1.87414
Reported LPN Staffing Hours per Resident per Day
1.26207
Reported RN Staffing Hours per Resident per Day
0.59770
Reported Licensed Staffing Hours per Resident per Day
1.85977
Reported Total Nurse Staffing Hours per Resident per Day
3.73391
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21322
Expected CNA Staffing Hours per Resident per Day
2.51193
Expected LPN Staffing Hours per Resident per Day
0.71755
Expected RN Staffing Hours per Resident per Day
1.29082
Expected Total Nurse Staffing Hours per Resident per Day
4.52030
Adjusted CNA Staffing Hours per Resident per Day
1.83069
Adjusted LPN Staffing Hours per Resident per Day
1.45986
Adjusted RN Staffing Hours per Resident per Day
0.34598
Adjusted Total Nurse Staffing Hours per Resident per Day
3.32965
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
221
Cycle 1 Standard Survey Health Date
2015-02-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
221
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
208
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
208
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-01-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
189.16700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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