Stockdale Residence And Rehabilitation Center - Stockdale Nursing Home
General Information
UPDATEFederal Provider Number
675477
Provider Name
STOCKDALE RESIDENCE AND REHABILITATION CENTER
Provider Address
300 SALMON
STOCKDALE, TX 78160
STOCKDALE, TX 78160
Provider Phone Number
8309963721
Provider SSA County
971
Provider County Name
Wilson
Ownership Type
For profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
44
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
1995-05-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
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
1.65455
Reported LPN Staffing Hours per Resident per Day
0.70227
Reported RN Staffing Hours per Resident per Day
0.42727
Reported Licensed Staffing Hours per Resident per Day
1.12955
Reported Total Nurse Staffing Hours per Resident per Day
2.78409
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01818
Expected CNA Staffing Hours per Resident per Day
2.53970
Expected LPN Staffing Hours per Resident per Day
0.64751
Expected RN Staffing Hours per Resident per Day
1.03582
Expected Total Nurse Staffing Hours per Resident per Day
4.22303
Adjusted CNA Staffing Hours per Resident per Day
1.59853
Adjusted LPN Staffing Hours per Resident per Day
0.90020
Adjusted RN Staffing Hours per Resident per Day
0.30822
Adjusted Total Nurse Staffing Hours per Resident per Day
2.65743
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-01-23
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-03-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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
Nursiong Homes Nearby
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Frank M Tejeda Texas State Veterans Home
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