Ridgeview Rehabilitation And Skilled Nursing - Cleburne Nursing Home
General Information
UPDATEFederal Provider Number
676197
Provider Name
RIDGEVIEW REHABILITATION AND SKILLED NURSING
Provider Address
206 WALLS DR
CLEBURNE, TX 76033
CLEBURNE, TX 76033
Provider Phone Number
(817) 645-0668
Provider SSA County
720
Provider County Name
Johnson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
J-S CLEBURNE OPERATIONS LP
Date First Approved to Provide Medicare and Medicaid services
2008-09-11
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.26100
Reported LPN Staffing Hours per Resident per Day
0.81300
Reported RN Staffing Hours per Resident per Day
0.39800
Reported Licensed Staffing Hours per Resident per Day
1.21100
Reported Total Nurse Staffing Hours per Resident per Day
3.47200
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06800
Expected CNA Staffing Hours per Resident per Day
2.68185
Expected LPN Staffing Hours per Resident per Day
0.68413
Expected RN Staffing Hours per Resident per Day
1.13964
Expected Total Nurse Staffing Hours per Resident per Day
4.50562
Adjusted CNA Staffing Hours per Resident per Day
2.06865
Adjusted LPN Staffing Hours per Resident per Day
0.98635
Adjusted RN Staffing Hours per Resident per Day
0.26095
Adjusted Total Nurse Staffing Hours per Resident per Day
3.10618
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
16
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
4030
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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