Texas Nursing Homes >> Longview Nursing Homes >> Pine Tree Lodge Nursing Center

Pine Tree Lodge Nursing Center - Longview Nursing Home

General Information

UPDATE
Federal Provider Number
675177
Provider Name
PINE TREE LODGE NURSING CENTER
Provider Address
2711 PINE TREE RD
LONGVIEW, TX 75604
Provider Phone Number
(903) 759-3994
Provider SSA County
570
Provider County Name
Gregg
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LONGVIEW I ENTERPRISES, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-08-25
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
2.33267
Reported LPN Staffing Hours per Resident per Day
1.13000
Reported RN Staffing Hours per Resident per Day
0.44000
Reported Licensed Staffing Hours per Resident per Day
1.57000
Reported Total Nurse Staffing Hours per Resident per Day
3.90267
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00867
Expected CNA Staffing Hours per Resident per Day
2.46398
Expected LPN Staffing Hours per Resident per Day
0.66502
Expected RN Staffing Hours per Resident per Day
1.12381
Expected Total Nurse Staffing Hours per Resident per Day
4.25281
Adjusted CNA Staffing Hours per Resident per Day
2.32294
Adjusted LPN Staffing Hours per Resident per Day
1.41034
Adjusted RN Staffing Hours per Resident per Day
0.29255
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69903
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-05-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-04-10
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
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-05-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
67.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
1950
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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