Pecan Manor Nursing And Rehabilitation Lp - Kennedale Nursing Home
General Information
UPDATEFederal Provider Number
675270
Provider Name
PECAN MANOR NURSING AND REHABILITATION LP
Provider Address
413 E MANSFIELD CARDINAL
KENNEDALE, TX 76060
KENNEDALE, TX 76060
Provider Phone Number
8175614495
Provider SSA County
910
Provider County Name
Tarrant
Ownership Type
For profit - Partnership
Number of Certified Beds
49
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PECAN MANOR NURSING AND REHABILITATION LP
Date First Approved to Provide Medicare and Medicaid services
1994-01-31
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
3
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
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
1.31531
Reported LPN Staffing Hours per Resident per Day
0.78571
Reported RN Staffing Hours per Resident per Day
0.36735
Reported Licensed Staffing Hours per Resident per Day
1.15306
Reported Total Nurse Staffing Hours per Resident per Day
2.46837
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00714
Expected CNA Staffing Hours per Resident per Day
2.19422
Expected LPN Staffing Hours per Resident per Day
0.60475
Expected RN Staffing Hours per Resident per Day
1.11380
Expected Total Nurse Staffing Hours per Resident per Day
3.91278
Adjusted CNA Staffing Hours per Resident per Day
1.47085
Adjusted LPN Staffing Hours per Resident per Day
1.07835
Adjusted RN Staffing Hours per Resident per Day
0.24644
Adjusted Total Nurse Staffing Hours per Resident per Day
2.54289
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
8
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
16
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-06-15
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
9.33300
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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