Presbyterian Village North Special Care Ctr - Dallas Nursing Home
General Information
UPDATEFederal Provider Number
676135
Provider Name
PRESBYTERIAN VILLAGE NORTH SPECIAL CARE CTR
Provider Address
8600 SKYLINE DR
DALLAS, TX 75243
DALLAS, TX 75243
Provider Phone Number
2143559600
Provider SSA County
390
Provider County Name
Dallas
Ownership Type
Non profit - Corporation
Number of Certified Beds
234
Number of Residents in Certified Beds
191
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN VILLAGE NORTH
Date First Approved to Provide Medicare and Medicaid services
2007-04-04
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.11021
Reported LPN Staffing Hours per Resident per Day
1.27723
Reported RN Staffing Hours per Resident per Day
0.99529
Reported Licensed Staffing Hours per Resident per Day
2.27251
Reported Total Nurse Staffing Hours per Resident per Day
5.38273
Reported Physical Therapist Staffing Hours per Resident Per Day
0.41990
Expected CNA Staffing Hours per Resident per Day
2.39655
Expected LPN Staffing Hours per Resident per Day
0.63275
Expected RN Staffing Hours per Resident per Day
1.17470
Expected Total Nurse Staffing Hours per Resident per Day
4.20400
Adjusted CNA Staffing Hours per Resident per Day
3.18438
Adjusted LPN Staffing Hours per Resident per Day
1.67538
Adjusted RN Staffing Hours per Resident per Day
0.63308
Adjusted Total Nurse Staffing Hours per Resident per Day
5.16109
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-07-18
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
32.00000
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
Nursiong Homes Nearby
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The Plaza At Edgemere Health Care
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The Gardens Of Richardson
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