Senior Care At Stephenville - Stephenville Nursing Home

General Information

UPDATE
Federal Provider Number
455906
Provider Name
SENIOR CARE AT STEPHENVILLE
Provider Address
2601 NORTHWEST LOOP
STEPHENVILLE, TX 76401
Provider Phone Number
(254) 968-4649
Provider SSA County
490
Provider County Name
Erath
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COMMUNITY SCC LLC
Date First Approved to Provide Medicare and Medicaid services
1990-12-20
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.07159
Reported LPN Staffing Hours per Resident per Day
1.01648
Reported RN Staffing Hours per Resident per Day
0.62102
Reported Licensed Staffing Hours per Resident per Day
1.63750
Reported Total Nurse Staffing Hours per Resident per Day
3.70909
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11136
Expected CNA Staffing Hours per Resident per Day
2.39298
Expected LPN Staffing Hours per Resident per Day
0.69169
Expected RN Staffing Hours per Resident per Day
1.27141
Expected Total Nurse Staffing Hours per Resident per Day
4.35608
Adjusted CNA Staffing Hours per Resident per Day
2.12416
Adjusted LPN Staffing Hours per Resident per Day
1.21973
Adjusted RN Staffing Hours per Resident per Day
0.36497
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43221
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
2014-04-25
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-05-23
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-05-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
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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