South Place Nursing Center - Athens Nursing Home
General Information
UPDATEFederal Provider Number
455834
Provider Name
SOUTH PLACE NURSING CENTER
Provider Address
150 GIBSON RD
ATHENS, TX 75751
ATHENS, TX 75751
Provider Phone Number
(903) 677-5864
Provider SSA County
640
Provider County Name
Henderson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTH PLACE SNF, LP
Date First Approved to Provide Medicare and Medicaid services
1989-09-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
3.51651
Reported LPN Staffing Hours per Resident per Day
1.52406
Reported RN Staffing Hours per Resident per Day
0.36132
Reported Licensed Staffing Hours per Resident per Day
1.88538
Reported Total Nurse Staffing Hours per Resident per Day
5.40189
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09717
Expected CNA Staffing Hours per Resident per Day
2.57025
Expected LPN Staffing Hours per Resident per Day
0.62683
Expected RN Staffing Hours per Resident per Day
0.97776
Expected Total Nurse Staffing Hours per Resident per Day
4.17484
Adjusted CNA Staffing Hours per Resident per Day
3.35705
Adjusted LPN Staffing Hours per Resident per Day
2.01806
Adjusted RN Staffing Hours per Resident per Day
0.27612
Adjusted Total Nurse Staffing Hours per Resident per Day
5.21565
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-10-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-10-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-09-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
77.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
2
Total Amount of Fines in Dollars
4550
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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