Park Plaza Ltc Partners, Inc. - San Angelo Nursing Home
General Information
UPDATEFederal Provider Number
675982
Provider Name
PARK PLAZA LTC PARTNERS, INC.
Provider Address
2210 HOWARD ST
SAN ANGELO, TX 76901
SAN ANGELO, TX 76901
Provider Phone Number
(325) 944-0561
Provider SSA County
930
Provider County Name
Tom Green
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
89
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PARK PLAZA LTC PARTNERS, INC.
Date First Approved to Provide Medicare and Medicaid services
2003-07-23
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
3
Health Inspection Rating Footnote
QM Rating
1
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
2.67244
Reported LPN Staffing Hours per Resident per Day
0.80385
Reported RN Staffing Hours per Resident per Day
0.43590
Reported Licensed Staffing Hours per Resident per Day
1.23974
Reported Total Nurse Staffing Hours per Resident per Day
3.91219
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01218
Expected CNA Staffing Hours per Resident per Day
2.39704
Expected LPN Staffing Hours per Resident per Day
0.63873
Expected RN Staffing Hours per Resident per Day
1.17373
Expected Total Nurse Staffing Hours per Resident per Day
4.20951
Adjusted CNA Staffing Hours per Resident per Day
2.73561
Adjusted LPN Staffing Hours per Resident per Day
1.04456
Adjusted RN Staffing Hours per Resident per Day
0.27750
Adjusted Total Nurse Staffing Hours per Resident per Day
3.74620
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
2014-06-11
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
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
173
Cycle 2 Standard Health Survey Date
2013-05-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
173
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-07-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
72.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
4875
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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