Rose Haven Retreat - Atlanta Nursing Home
General Information
UPDATEFederal Provider Number
675603
Provider Name
ROSE HAVEN RETREAT
Provider Address
200 LIVE OAK ST
ATLANTA, TX 75551
ATLANTA, TX 75551
Provider Phone Number
(903) 796-4127
Provider SSA County
260
Provider County Name
Cass
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINNIE STOWELL HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1996-06-14
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
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
4
QM Rating Footnote
Staffing Rating
2
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
2.38367
Reported LPN Staffing Hours per Resident per Day
1.78571
Reported RN Staffing Hours per Resident per Day
0.20918
Reported Licensed Staffing Hours per Resident per Day
1.99490
Reported Total Nurse Staffing Hours per Resident per Day
4.37856
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02347
Expected CNA Staffing Hours per Resident per Day
2.27491
Expected LPN Staffing Hours per Resident per Day
0.68042
Expected RN Staffing Hours per Resident per Day
1.19238
Expected Total Nurse Staffing Hours per Resident per Day
4.14771
Adjusted CNA Staffing Hours per Resident per Day
2.57100
Adjusted LPN Staffing Hours per Resident per Day
2.17826
Adjusted RN Staffing Hours per Resident per Day
0.13108
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25525
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
2014-04-02
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
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
144
Cycle 2 Standard Health Survey Date
2013-04-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
144
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2012-06-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
72.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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