Renaissance Park Multi Care Center - Fort Worth Nursing Home
General Information
UPDATEFederal Provider Number
455891
Provider Name
RENAISSANCE PARK MULTI CARE CENTER
Provider Address
4252 BRYANT IRVIN RD
FORT WORTH, TX 76109
FORT WORTH, TX 76109
Provider Phone Number
(817) 738-2975
Provider SSA County
910
Provider County Name
Tarrant
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
79
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNITED INVESTORS LP
Date First Approved to Provide Medicare and Medicaid services
1990-08-13
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.96603
Reported LPN Staffing Hours per Resident per Day
1.32308
Reported RN Staffing Hours per Resident per Day
0.61410
Reported Licensed Staffing Hours per Resident per Day
1.93718
Reported Total Nurse Staffing Hours per Resident per Day
3.90321
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18205
Expected CNA Staffing Hours per Resident per Day
2.38116
Expected LPN Staffing Hours per Resident per Day
0.71035
Expected RN Staffing Hours per Resident per Day
1.39270
Expected Total Nurse Staffing Hours per Resident per Day
4.48421
Adjusted CNA Staffing Hours per Resident per Day
2.02592
Adjusted LPN Staffing Hours per Resident per Day
1.54594
Adjusted RN Staffing Hours per Resident per Day
0.32947
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50864
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-04-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-04-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
2000
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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