Renaissance Villa - Rockdale Nursing Home
General Information
UPDATEFederal Provider Number
676093
Provider Name
RENAISSANCE VILLA
Provider Address
700 DYER ST
ROCKDALE, TX 76567
ROCKDALE, TX 76567
Provider Phone Number
(512) 446-2548
Provider SSA County
795
Provider County Name
Milam
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ARBORETUM HEALTH CARE INC
Date First Approved to Provide Medicare and Medicaid services
2006-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.39186
Reported LPN Staffing Hours per Resident per Day
0.59767
Reported RN Staffing Hours per Resident per Day
0.41163
Reported Licensed Staffing Hours per Resident per Day
1.00930
Reported Total Nurse Staffing Hours per Resident per Day
3.40116
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06628
Expected CNA Staffing Hours per Resident per Day
2.39754
Expected LPN Staffing Hours per Resident per Day
0.55932
Expected RN Staffing Hours per Resident per Day
0.92130
Expected Total Nurse Staffing Hours per Resident per Day
3.87815
Adjusted CNA Staffing Hours per Resident per Day
2.44788
Adjusted LPN Staffing Hours per Resident per Day
0.88692
Adjusted RN Staffing Hours per Resident per Day
0.33384
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53512
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
13
Cycle 2 Health Deficiency Score
184
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
184
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
0
Cycle 3 Standard Health Survey Date
2013-01-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
85.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
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
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