Providence Park Rehabilitation And Skilled Nursing - Tyler Nursing Home
General Information
UPDATEFederal Provider Number
676184
Provider Name
PROVIDENCE PARK REHABILITATION AND SKILLED NURSING
Provider Address
5505 NEW COPELAND RD
TYLER, TX 75703
TYLER, TX 75703
Provider Phone Number
9039392443
Provider SSA County
892
Provider County Name
Smith
Ownership Type
For profit - Corporation
Number of Certified Beds
125
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BROADMORE SNF OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
2008-07-24
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.34198
Reported LPN Staffing Hours per Resident per Day
0.49245
Reported RN Staffing Hours per Resident per Day
0.85047
Reported Licensed Staffing Hours per Resident per Day
1.34292
Reported Total Nurse Staffing Hours per Resident per Day
3.68490
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19858
Expected CNA Staffing Hours per Resident per Day
2.37398
Expected LPN Staffing Hours per Resident per Day
0.65356
Expected RN Staffing Hours per Resident per Day
1.16746
Expected Total Nurse Staffing Hours per Resident per Day
4.19500
Adjusted CNA Staffing Hours per Resident per Day
2.42063
Adjusted LPN Staffing Hours per Resident per Day
0.62539
Adjusted RN Staffing Hours per Resident per Day
0.54432
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54075
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-07-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
18.00000
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
The Waterton Healthcare & Rehabilitation
2875 Shiloh Road |
TYLER TX 75703 | 1.6 miles away
Reunion Plaza Healthcare & Rehabilitation
1401 Rice Rd |
TYLER TX 75703 | 1.8 miles away
Pinecrest Nursing & Rehabilitation Center
3505 Old Jacksonville Rd |
TYLER TX 75701 | 2.3 miles away
Briarcliff Health Center
3403 S Vine Ave |
TYLER TX 75701 | 2.4 miles away
The Heights Of Tyler
2650 Elkton Trail |
TYLER TX 75703 | 3 miles away
Park Place Nursing & Rehabilitation Center
2450 E Fifth St |
TYLER TX 75701 | 3.3 miles away
Colonial Tyler Care Center
930 S Baxter |
TYLER TX 75701 | 3.4 miles away
The Clairmont Tyler
900 S Baxter Ave |
TYLER TX 75701 | 3.4 miles away
Azalea Place Healthcare & Rehabilitation
810 S Porter Ave |
TYLER TX 75701 | 3.6 miles away
Longleaf Meadows Healthcare Center
16044 County Road 165 |
TYLER TX 75703 | 4.6 miles away
Greenbrier Nursing And Rehabilitation Center Of Ty
3526 W Erwin St |
TYLER TX 75702 | 5.2 miles away
The Melrose
1501 W 29th St |
TYLER TX 75702 | 6.3 miles away
Oak Brook Health Care Center
107 Stacy |
WHITEHOUSE TX 75791 | 6.5 miles away
Watkins-logan-garrison Texas State Veteran's Home
11466 Honor Lane |
TYLER TX 75708 | 10.9 miles away
Colonial Nursing Center
508 Pierce St |
LINDALE TX 75771 | 16.7 miles away
Reviews: Be the first to review this provider.
Share your experience with Providence Park Rehabilitation And Skilled Nursing. You can help others by writing a review.
