Pinecrest Nursing & Rehabilitation Center - Tyler Nursing Home
General Information
UPDATEFederal Provider Number
675289
Provider Name
PINECREST NURSING & REHABILITATION CENTER
Provider Address
3505 OLD JACKSONVILLE RD
TYLER, TX 75701
TYLER, TX 75701
Provider Phone Number
(903) 561-2011
Provider SSA County
892
Provider County Name
Smith
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
92
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINECREST SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1994-01-13
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
1.74728
Reported LPN Staffing Hours per Resident per Day
0.67554
Reported RN Staffing Hours per Resident per Day
0.36902
Reported Licensed Staffing Hours per Resident per Day
1.04457
Reported Total Nurse Staffing Hours per Resident per Day
2.79184
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04837
Expected CNA Staffing Hours per Resident per Day
2.19518
Expected LPN Staffing Hours per Resident per Day
0.67177
Expected RN Staffing Hours per Resident per Day
1.13308
Expected Total Nurse Staffing Hours per Resident per Day
4.00004
Adjusted CNA Staffing Hours per Resident per Day
1.95305
Adjusted LPN Staffing Hours per Resident per Day
0.83466
Adjusted RN Staffing Hours per Resident per Day
0.24335
Adjusted Total Nurse Staffing Hours per Resident per Day
2.81338
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-07-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
112
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
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
16
Cycle 3 Standard Health Survey Date
2012-07-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
82.66700
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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