Stevens Health Care And Rehab Center - Yoakum Nursing Home
General Information
UPDATEFederal Provider Number
455544
Provider Name
STEVENS HEALTH CARE AND REHAB CENTER
Provider Address
204 WALTER ST
YOAKUM, TX 77995
YOAKUM, TX 77995
Provider Phone Number
(361) 293-3544
Provider SSA County
420
Provider County Name
De Witt
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
106
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PHPM MISSION CARE CENTERS-NEW COVENANT, LP
Date First Approved to Provide Medicare and Medicaid services
1985-05-02
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
4
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
1.78533
Reported LPN Staffing Hours per Resident per Day
1.07000
Reported RN Staffing Hours per Resident per Day
0.47600
Reported Licensed Staffing Hours per Resident per Day
1.54600
Reported Total Nurse Staffing Hours per Resident per Day
3.33133
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01533
Expected CNA Staffing Hours per Resident per Day
2.51803
Expected LPN Staffing Hours per Resident per Day
0.66416
Expected RN Staffing Hours per Resident per Day
0.94333
Expected Total Nurse Staffing Hours per Resident per Day
4.12552
Adjusted CNA Staffing Hours per Resident per Day
1.73972
Adjusted LPN Staffing Hours per Resident per Day
1.33718
Adjusted RN Staffing Hours per Resident per Day
0.37703
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25492
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-06-20
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
54.00000
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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