Peach Tree Place - Weatherford Nursing Home
General Information
UPDATEFederal Provider Number
676148
Provider Name
PEACH TREE PLACE
Provider Address
315 W ANDERSON ST
WEATHERFORD, TX 76086
WEATHERFORD, TX 76086
Provider Phone Number
(817) 599-4181
Provider SSA County
843
Provider County Name
Parker
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2007-06-14
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Family
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
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
1.47115
Reported LPN Staffing Hours per Resident per Day
0.90962
Reported RN Staffing Hours per Resident per Day
0.39904
Reported Licensed Staffing Hours per Resident per Day
1.30865
Reported Total Nurse Staffing Hours per Resident per Day
2.77981
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01250
Expected CNA Staffing Hours per Resident per Day
2.53474
Expected LPN Staffing Hours per Resident per Day
0.56552
Expected RN Staffing Hours per Resident per Day
0.88112
Expected Total Nurse Staffing Hours per Resident per Day
3.98139
Adjusted CNA Staffing Hours per Resident per Day
1.42412
Adjusted LPN Staffing Hours per Resident per Day
1.33502
Adjusted RN Staffing Hours per Resident per Day
0.33839
Adjusted Total Nurse Staffing Hours per Resident per Day
2.81438
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
0
Cycle 1 Standard Survey Health Date
2014-12-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
16.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
5558
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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