Ridgecrest Healthcare And Rehabilitation Center - Forney Nursing Home
General Information
UPDATEFederal Provider Number
676275
Provider Name
RIDGECREST HEALTHCARE AND REHABILITATION CENTER
Provider Address
561 E RIDGECREST RD
FORNEY, TX 75126
FORNEY, TX 75126
Provider Phone Number
(972) 552-2420
Provider SSA County
730
Provider County Name
Kaufman
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
104
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NEXION HEALTH AT FORNEY INC
Date First Approved to Provide Medicare and Medicaid services
2011-03-24
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.67163
Reported LPN Staffing Hours per Resident per Day
1.20962
Reported RN Staffing Hours per Resident per Day
0.35192
Reported Licensed Staffing Hours per Resident per Day
1.56154
Reported Total Nurse Staffing Hours per Resident per Day
3.23317
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03846
Expected CNA Staffing Hours per Resident per Day
2.60201
Expected LPN Staffing Hours per Resident per Day
0.74819
Expected RN Staffing Hours per Resident per Day
1.37857
Expected Total Nurse Staffing Hours per Resident per Day
4.72877
Adjusted CNA Staffing Hours per Resident per Day
1.57635
Adjusted LPN Staffing Hours per Resident per Day
1.34189
Adjusted RN Staffing Hours per Resident per Day
0.19074
Adjusted Total Nurse Staffing Hours per Resident per Day
2.75602
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-04-24
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
128
Cycle 2 Standard Health Survey Date
2013-04-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
128
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
55.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
1170
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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