Premont Rehab And Nursing Center - Premont Nursing Home
General Information
UPDATEFederal Provider Number
676169
Provider Name
PREMONT REHAB AND NURSING CENTER
Provider Address
431 N W 3RD ST
PREMONT, TX 78375
PREMONT, TX 78375
Provider Phone Number
(361) 348-3553
Provider SSA County
711
Provider County Name
Jim Wells
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PREMONT REHAB AND NURSING CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
2008-01-01
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
4
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
1.75000
Reported LPN Staffing Hours per Resident per Day
0.82841
Reported RN Staffing Hours per Resident per Day
0.25909
Reported Licensed Staffing Hours per Resident per Day
1.08750
Reported Total Nurse Staffing Hours per Resident per Day
2.83750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01250
Expected CNA Staffing Hours per Resident per Day
2.37974
Expected LPN Staffing Hours per Resident per Day
0.64352
Expected RN Staffing Hours per Resident per Day
0.98030
Expected Total Nurse Staffing Hours per Resident per Day
4.00356
Adjusted CNA Staffing Hours per Resident per Day
1.80439
Adjusted LPN Staffing Hours per Resident per Day
1.06847
Adjusted RN Staffing Hours per Resident per Day
0.19748
Adjusted Total Nurse Staffing Hours per Resident per Day
2.85688
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-07-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-07-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
40
Cycle 3 Standard Health Survey Date
2012-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
30.66700
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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