Stevens Nursing And Rehabilitation Center Of Halle - Hallettsville Nursing Home
General Information
UPDATEFederal Provider Number
675226
Provider Name
STEVENS NURSING AND REHABILITATION CENTER OF HALLE
Provider Address
106 KAHN ST
HALLETTSVILLE, TX 77964
HALLETTSVILLE, TX 77964
Provider Phone Number
(361) 798-3606
Provider SSA County
754
Provider County Name
Lavaca
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
190
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CITIZENS MEDICAL CENTER COUNTY OF VICTORIA
Date First Approved to Provide Medicare and Medicaid services
1993-10-29
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.36319
Reported LPN Staffing Hours per Resident per Day
0.80330
Reported RN Staffing Hours per Resident per Day
0.55989
Reported Licensed Staffing Hours per Resident per Day
1.36319
Reported Total Nurse Staffing Hours per Resident per Day
3.72638
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07308
Expected CNA Staffing Hours per Resident per Day
2.37968
Expected LPN Staffing Hours per Resident per Day
0.62475
Expected RN Staffing Hours per Resident per Day
1.06955
Expected Total Nurse Staffing Hours per Resident per Day
4.07398
Adjusted CNA Staffing Hours per Resident per Day
2.43670
Adjusted LPN Staffing Hours per Resident per Day
1.06720
Adjusted RN Staffing Hours per Resident per Day
0.39115
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68697
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-08-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
58.00000
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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