Port Lavaca Nursing And Rehabilitation Center - Port Lavaca Nursing Home
General Information
UPDATEFederal Provider Number
455999
Provider Name
PORT LAVACA NURSING AND REHABILITATION CENTER
Provider Address
524 VILLAGE RD
PORT LAVACA, TX 77979
PORT LAVACA, TX 77979
Provider Phone Number
3615523741
Provider SSA County
224
Provider County Name
Calhoun
Ownership Type
Government - County
Number of Certified Beds
150
Number of Residents in Certified Beds
126
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CITIZENS MEDICAL CENTER COUNTY OF VICTORIA
Date First Approved to Provide Medicare and Medicaid services
1992-02-25
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
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
2.15079
Reported LPN Staffing Hours per Resident per Day
0.69683
Reported RN Staffing Hours per Resident per Day
0.40714
Reported Licensed Staffing Hours per Resident per Day
1.10397
Reported Total Nurse Staffing Hours per Resident per Day
3.25476
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04008
Expected CNA Staffing Hours per Resident per Day
2.37253
Expected LPN Staffing Hours per Resident per Day
0.67899
Expected RN Staffing Hours per Resident per Day
1.19573
Expected Total Nurse Staffing Hours per Resident per Day
4.24726
Adjusted CNA Staffing Hours per Resident per Day
2.22437
Adjusted LPN Staffing Hours per Resident per Day
0.85180
Adjusted RN Staffing Hours per Resident per Day
0.25442
Adjusted Total Nurse Staffing Hours per Resident per Day
3.08896
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
0
Cycle 1 Standard Survey Health Date
2014-10-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-09-27
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
5.33300
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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