Promise Skilled Nursing Facility Of Wichita Falls - Wichita Falls Nursing Home
General Information
UPDATEFederal Provider Number
455901
Provider Name
PROMISE SKILLED NURSING FACILITY OF WICHITA FALLS
Provider Address
1101 GRACE ST
WICHITA FALLS, TX 76301
WICHITA FALLS, TX 76301
Provider Phone Number
(940) 322-3393
Provider SSA County
960
Provider County Name
Wichita
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PROMISE SKILLED NURSING FACILITY OF WICHITA FALLS INC
Date First Approved to Provide Medicare and Medicaid services
1990-11-15
Continuing Care Retirement Community
N
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.52128
Reported LPN Staffing Hours per Resident per Day
1.04894
Reported RN Staffing Hours per Resident per Day
0.73936
Reported Licensed Staffing Hours per Resident per Day
1.78830
Reported Total Nurse Staffing Hours per Resident per Day
4.30958
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07553
Expected CNA Staffing Hours per Resident per Day
2.21497
Expected LPN Staffing Hours per Resident per Day
0.62716
Expected RN Staffing Hours per Resident per Day
1.16811
Expected Total Nurse Staffing Hours per Resident per Day
4.01024
Adjusted CNA Staffing Hours per Resident per Day
2.79302
Adjusted LPN Staffing Hours per Resident per Day
1.38819
Adjusted RN Staffing Hours per Resident per Day
0.47294
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33178
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-01-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
9231
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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