Southwest Nursing And Rehabilitation Center - Fort Worth Nursing Home
General Information
UPDATEFederal Provider Number
675817
Provider Name
SOUTHWEST NURSING AND REHABILITATION CENTER
Provider Address
5300 ALTA MESA BLVD
FORT WORTH, TX 76133
FORT WORTH, TX 76133
Provider Phone Number
8173461800
Provider SSA County
910
Provider County Name
Tarrant
Ownership Type
For profit - Corporation
Number of Certified Beds
198
Number of Residents in Certified Beds
153
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2000-01-28
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
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
1.95294
Reported LPN Staffing Hours per Resident per Day
1.06340
Reported RN Staffing Hours per Resident per Day
0.53301
Reported Licensed Staffing Hours per Resident per Day
1.59641
Reported Total Nurse Staffing Hours per Resident per Day
3.54935
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03725
Expected CNA Staffing Hours per Resident per Day
2.53169
Expected LPN Staffing Hours per Resident per Day
0.81513
Expected RN Staffing Hours per Resident per Day
1.26395
Expected Total Nurse Staffing Hours per Resident per Day
4.61077
Adjusted CNA Staffing Hours per Resident per Day
1.89278
Adjusted LPN Staffing Hours per Resident per Day
1.08280
Adjusted RN Staffing Hours per Resident per Day
0.31510
Adjusted Total Nurse Staffing Hours per Resident per Day
3.10297
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
136
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
144
Cycle 3 Standard Health Survey Date
2012-08-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
144
Total Weighted Health Survey Score
73.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
16
Number of Fines
2
Total Amount of Fines in Dollars
5525
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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