Rayburn Health Care & Rehabilitation - Jasper Nursing Home
General Information
UPDATEFederal Provider Number
676269
Provider Name
RAYBURN HEALTH CARE & REHABILITATION
Provider Address
144 BULLDOG AVENUE
JASPER, TX 75951
JASPER, TX 75951
Provider Phone Number
(409) 381-8500
Provider SSA County
690
Provider County Name
Jasper
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
107
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SWEET NECHES PROPERTIES, LTD.
Date First Approved to Provide Medicare and Medicaid services
2011-01-10
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.29167
Reported LPN Staffing Hours per Resident per Day
0.83403
Reported RN Staffing Hours per Resident per Day
0.53333
Reported Licensed Staffing Hours per Resident per Day
1.36736
Reported Total Nurse Staffing Hours per Resident per Day
3.65903
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06319
Expected CNA Staffing Hours per Resident per Day
2.20020
Expected LPN Staffing Hours per Resident per Day
0.62227
Expected RN Staffing Hours per Resident per Day
1.04907
Expected Total Nurse Staffing Hours per Resident per Day
3.87153
Adjusted CNA Staffing Hours per Resident per Day
2.55571
Adjusted LPN Staffing Hours per Resident per Day
1.11246
Adjusted RN Staffing Hours per Resident per Day
0.37986
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80965
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
418
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
418
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-10-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
242.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
2302
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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