Pittsburg Nursing Center - Pittsburg Nursing Home
General Information
UPDATEFederal Provider Number
675037
Provider Name
PITTSBURG NURSING CENTER
Provider Address
123 PECAN GROVE
PITTSBURG, TX 75686
PITTSBURG, TX 75686
Provider Phone Number
9038563633
Provider SSA County
250
Provider County Name
Camp
Ownership Type
For profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CROCKETT SENIOR CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1992-03-16
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.15660
Reported LPN Staffing Hours per Resident per Day
0.64717
Reported RN Staffing Hours per Resident per Day
0.58208
Reported Licensed Staffing Hours per Resident per Day
1.22925
Reported Total Nurse Staffing Hours per Resident per Day
3.38585
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08585
Expected CNA Staffing Hours per Resident per Day
2.50120
Expected LPN Staffing Hours per Resident per Day
0.65422
Expected RN Staffing Hours per Resident per Day
0.97880
Expected Total Nurse Staffing Hours per Resident per Day
4.13422
Adjusted CNA Staffing Hours per Resident per Day
2.11564
Adjusted LPN Staffing Hours per Resident per Day
0.82105
Adjusted RN Staffing Hours per Resident per Day
0.44435
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30123
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
333
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
167
Cycle 1 Total Health Score
500
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
148
Cycle 2 Standard Health Survey Date
2013-12-04
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
16
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
160
Cycle 3 Standard Health Survey Date
2012-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
160
Total Weighted Health Survey Score
326.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
60516
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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