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Stonegate Nursing Center - Fort Worth Nursing Home

General Information

UPDATE
Federal Provider Number
675759
Provider Name
STONEGATE NURSING CENTER
Provider Address
4201 STONEGATE BLVD
FORT WORTH, TX 76109
Provider Phone Number
(817) 924-5440
Provider SSA County
910
Provider County Name
Tarrant
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
134
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STONEGATE NURSING CENTER LTD
Date First Approved to Provide Medicare and Medicaid services
1998-08-06
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.94409
Reported LPN Staffing Hours per Resident per Day
1.24091
Reported RN Staffing Hours per Resident per Day
0.29455
Reported Licensed Staffing Hours per Resident per Day
1.53545
Reported Total Nurse Staffing Hours per Resident per Day
4.47955
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07136
Expected CNA Staffing Hours per Resident per Day
2.51103
Expected LPN Staffing Hours per Resident per Day
0.60344
Expected RN Staffing Hours per Resident per Day
0.92987
Expected Total Nurse Staffing Hours per Resident per Day
4.04434
Adjusted CNA Staffing Hours per Resident per Day
2.87687
Adjusted LPN Staffing Hours per Resident per Day
1.70681
Adjusted RN Staffing Hours per Resident per Day
0.23669
Adjusted Total Nurse Staffing Hours per Resident per Day
4.46467
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
16
Cycle 1 Standard Survey Health Date
2014-06-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
16
Cycle 2 Standard Health Survey Date
2013-06-27
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
16.66700
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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