Sunny Acres Of Dekalb - De Kalb Nursing Home
General Information
UPDATEFederal Provider Number
675936
Provider Name
SUNNY ACRES OF DEKALB
Provider Address
12520 FM 1840
DE KALB, TX 75559
DE KALB, TX 75559
Provider Phone Number
(903) 667-2572
Provider SSA County
170
Provider County Name
Bowie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DEKALB GREENLAW HEALTH CARE LLC
Date First Approved to Provide Medicare and Medicaid services
2002-10-29
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.67654
Reported LPN Staffing Hours per Resident per Day
0.87593
Reported RN Staffing Hours per Resident per Day
0.57840
Reported Licensed Staffing Hours per Resident per Day
1.45432
Reported Total Nurse Staffing Hours per Resident per Day
4.13087
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00864
Expected CNA Staffing Hours per Resident per Day
2.45584
Expected LPN Staffing Hours per Resident per Day
0.59896
Expected RN Staffing Hours per Resident per Day
0.88590
Expected Total Nurse Staffing Hours per Resident per Day
3.94070
Adjusted CNA Staffing Hours per Resident per Day
2.67421
Adjusted LPN Staffing Hours per Resident per Day
1.21380
Adjusted RN Staffing Hours per Resident per Day
0.48785
Adjusted Total Nurse Staffing Hours per Resident per Day
4.22542
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
120
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
120
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
168
Cycle 2 Standard Health Survey Date
2014-03-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
168
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2013-05-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
134.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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