Park Place Nursing & Rehabilitation Center - Tyler Nursing Home
General Information
UPDATEFederal Provider Number
676005
Provider Name
PARK PLACE NURSING & REHABILITATION CENTER
Provider Address
2450 E FIFTH ST
TYLER, TX 75701
TYLER, TX 75701
Provider Phone Number
(903) 592-6745
Provider SSA County
892
Provider County Name
Smith
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PARK PLACE TYLER HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
2004-03-09
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.64728
Reported LPN Staffing Hours per Resident per Day
0.85000
Reported RN Staffing Hours per Resident per Day
0.26957
Reported Licensed Staffing Hours per Resident per Day
1.11957
Reported Total Nurse Staffing Hours per Resident per Day
3.76685
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06196
Expected CNA Staffing Hours per Resident per Day
2.54496
Expected LPN Staffing Hours per Resident per Day
0.56420
Expected RN Staffing Hours per Resident per Day
0.85669
Expected Total Nurse Staffing Hours per Resident per Day
3.96584
Adjusted CNA Staffing Hours per Resident per Day
2.55235
Adjusted LPN Staffing Hours per Resident per Day
1.25044
Adjusted RN Staffing Hours per Resident per Day
0.23512
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82864
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
40
Cycle 1 Standard Survey Health Date
2015-02-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-03-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-04-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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