Southern Specialty Rehab & Nursing - Lubbock Nursing Home
General Information
UPDATEFederal Provider Number
676028
Provider Name
SOUTHERN SPECIALTY REHAB & NURSING
Provider Address
4320 W 19TH ST
LUBBOCK, TX 79407
LUBBOCK, TX 79407
Provider Phone Number
(806) 795-1774
Provider SSA County
770
Provider County Name
Lubbock
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
144
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUBBOCK I ENTERPRISES, LLC
Date First Approved to Provide Medicare and Medicaid services
2004-08-30
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
1
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
2.59533
Reported LPN Staffing Hours per Resident per Day
1.72944
Reported RN Staffing Hours per Resident per Day
0.63084
Reported Licensed Staffing Hours per Resident per Day
2.36028
Reported Total Nurse Staffing Hours per Resident per Day
4.95561
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01075
Expected CNA Staffing Hours per Resident per Day
2.36948
Expected LPN Staffing Hours per Resident per Day
0.95689
Expected RN Staffing Hours per Resident per Day
1.44361
Expected Total Nurse Staffing Hours per Resident per Day
4.76999
Adjusted CNA Staffing Hours per Resident per Day
2.68757
Adjusted LPN Staffing Hours per Resident per Day
1.50010
Adjusted RN Staffing Hours per Resident per Day
0.32652
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18776
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-11-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
64.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
4
Total Amount of Fines in Dollars
2925
Number of Payment Denials
0
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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