Park Place Care Center - Georgetown Nursing Home
General Information
UPDATEFederal Provider Number
675915
Provider Name
PARK PLACE CARE CENTER
Provider Address
121 FM 971
GEORGETOWN, TX 78626
GEORGETOWN, TX 78626
Provider Phone Number
(512) 868-6200
Provider SSA County
970
Provider County Name
Williamson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
116
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PM MANAGEMENT-GEORGETOWN NC LLC
Date First Approved to Provide Medicare and Medicaid services
2002-05-24
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
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.10618
Reported LPN Staffing Hours per Resident per Day
0.78146
Reported RN Staffing Hours per Resident per Day
0.77360
Reported Licensed Staffing Hours per Resident per Day
1.55506
Reported Total Nurse Staffing Hours per Resident per Day
3.66124
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06404
Expected CNA Staffing Hours per Resident per Day
2.32017
Expected LPN Staffing Hours per Resident per Day
0.65713
Expected RN Staffing Hours per Resident per Day
1.10103
Expected Total Nurse Staffing Hours per Resident per Day
4.07833
Adjusted CNA Staffing Hours per Resident per Day
2.22740
Adjusted LPN Staffing Hours per Resident per Day
0.98703
Adjusted RN Staffing Hours per Resident per Day
0.52499
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61866
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
112
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-06-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
83.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
1138
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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