Seabury Center Ncu - Odessa Nursing Home

General Information

UPDATE
Federal Provider Number
675751
Provider Name
SEABURY CENTER NCU
Provider Address
2443 W 16TH ST
ODESSA, TX 79763
Provider Phone Number
(432) 333-2904
Provider SSA County
451
Provider County Name
Ector
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST JOHNS EPISCOPAL RETIREMENT
Date First Approved to Provide Medicare and Medicaid services
1998-05-28
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.50500
Reported LPN Staffing Hours per Resident per Day
1.14000
Reported RN Staffing Hours per Resident per Day
0.44625
Reported Licensed Staffing Hours per Resident per Day
1.58625
Reported Total Nurse Staffing Hours per Resident per Day
4.09125
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06625
Expected CNA Staffing Hours per Resident per Day
2.14275
Expected LPN Staffing Hours per Resident per Day
0.60359
Expected RN Staffing Hours per Resident per Day
0.88350
Expected Total Nurse Staffing Hours per Resident per Day
3.62984
Adjusted CNA Staffing Hours per Resident per Day
2.86852
Adjusted LPN Staffing Hours per Resident per Day
1.56761
Adjusted RN Staffing Hours per Resident per Day
0.37741
Adjusted Total Nurse Staffing Hours per Resident per Day
4.54329
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-11-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
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
16
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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