Pleasant Manor Health & Rehabilitation Center - Waxahachie Nursing Home
General Information
UPDATEFederal Provider Number
675889
Provider Name
PLEASANT MANOR HEALTH & REHABILITATION CENTER
Provider Address
3650 S IH 35 E
WAXAHACHIE, TX 75165
WAXAHACHIE, TX 75165
Provider Phone Number
(972) 937-7320
Provider SSA County
470
Provider County Name
Ellis
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLEASANTMANOR SCC LLC
Date First Approved to Provide Medicare and Medicaid services
2001-10-25
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
1.81968
Reported LPN Staffing Hours per Resident per Day
1.01436
Reported RN Staffing Hours per Resident per Day
0.32021
Reported Licensed Staffing Hours per Resident per Day
1.33457
Reported Total Nurse Staffing Hours per Resident per Day
3.15425
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06543
Expected CNA Staffing Hours per Resident per Day
2.54383
Expected LPN Staffing Hours per Resident per Day
0.67181
Expected RN Staffing Hours per Resident per Day
1.23718
Expected Total Nurse Staffing Hours per Resident per Day
4.45282
Adjusted CNA Staffing Hours per Resident per Day
1.75520
Adjusted LPN Staffing Hours per Resident per Day
1.25321
Adjusted RN Staffing Hours per Resident per Day
0.19339
Adjusted Total Nurse Staffing Hours per Resident per Day
2.85537
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-03-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2014-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2013-03-22
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
69.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
6013
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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