South Dallas Nursing & Rehabilitation - Dallas Nursing Home
General Information
UPDATEFederal Provider Number
675440
Provider Name
SOUTH DALLAS NURSING & REHABILITATION
Provider Address
3808 S CENTRAL EXPWY
DALLAS, TX 75215
DALLAS, TX 75215
Provider Phone Number
(214) 428-2851
Provider SSA County
390
Provider County Name
Dallas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
91
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MODERN SENIOR LIVING LLC
Date First Approved to Provide Medicare and Medicaid services
1995-01-24
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
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
2.50120
Reported LPN Staffing Hours per Resident per Day
0.64337
Reported RN Staffing Hours per Resident per Day
0.38253
Reported Licensed Staffing Hours per Resident per Day
1.02590
Reported Total Nurse Staffing Hours per Resident per Day
3.52710
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06867
Expected CNA Staffing Hours per Resident per Day
2.16622
Expected LPN Staffing Hours per Resident per Day
0.62659
Expected RN Staffing Hours per Resident per Day
1.32210
Expected Total Nurse Staffing Hours per Resident per Day
4.11491
Adjusted CNA Staffing Hours per Resident per Day
2.83314
Adjusted LPN Staffing Hours per Resident per Day
0.85223
Adjusted RN Staffing Hours per Resident per Day
0.21619
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45509
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-12-07
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
49.33300
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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