Stephenville Nursing And Rehabilitation - Stephenville Nursing Home
General Information
UPDATEFederal Provider Number
675866
Provider Name
STEPHENVILLE NURSING AND REHABILITATION
Provider Address
2311 WEST WASHINGTON
STEPHENVILLE, TX 76401
STEPHENVILLE, TX 76401
Provider Phone Number
(254) 968-3313
Provider SSA County
490
Provider County Name
Erath
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
35
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TICKNOR ENTERPRISES STEPHENVILLE, LLC
Date First Approved to Provide Medicare and Medicaid services
2000-12-06
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
5
Health Inspection Rating Footnote
QM Rating
1
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
2.00000
Reported LPN Staffing Hours per Resident per Day
1.22714
Reported RN Staffing Hours per Resident per Day
0.39143
Reported Licensed Staffing Hours per Resident per Day
1.61857
Reported Total Nurse Staffing Hours per Resident per Day
3.61857
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16286
Expected CNA Staffing Hours per Resident per Day
2.69511
Expected LPN Staffing Hours per Resident per Day
0.76554
Expected RN Staffing Hours per Resident per Day
1.24348
Expected Total Nurse Staffing Hours per Resident per Day
4.70413
Adjusted CNA Staffing Hours per Resident per Day
1.82085
Adjusted LPN Staffing Hours per Resident per Day
1.33047
Adjusted RN Staffing Hours per Resident per Day
0.23521
Adjusted Total Nurse Staffing Hours per Resident per Day
3.10070
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
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
0
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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