Park Place Manor Inc - Belton Nursing Home
General Information
UPDATEFederal Provider Number
675948
Provider Name
PARK PLACE MANOR INC
Provider Address
810 E 13TH AVE
BELTON, TX 76513
BELTON, TX 76513
Provider Phone Number
(254) 939-1876
Provider SSA County
120
Provider County Name
Bell
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
114
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PARK PLACE MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
2003-01-14
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
3
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
2.60960
Reported LPN Staffing Hours per Resident per Day
0.63788
Reported RN Staffing Hours per Resident per Day
0.50808
Reported Licensed Staffing Hours per Resident per Day
1.14596
Reported Total Nurse Staffing Hours per Resident per Day
3.75556
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06768
Expected CNA Staffing Hours per Resident per Day
2.33336
Expected LPN Staffing Hours per Resident per Day
0.61245
Expected RN Staffing Hours per Resident per Day
1.05749
Expected Total Nurse Staffing Hours per Resident per Day
4.00330
Adjusted CNA Staffing Hours per Resident per Day
2.74418
Adjusted LPN Staffing Hours per Resident per Day
0.86447
Adjusted RN Staffing Hours per Resident per Day
0.35900
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78145
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-12-11
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
8
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
17.33300
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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