The Clairmont Tyler - Tyler Nursing Home
General Information
UPDATEFederal Provider Number
455485
Provider Name
THE CLAIRMONT TYLER
Provider Address
900 S BAXTER AVE
TYLER, TX 75701
TYLER, TX 75701
Provider Phone Number
(903) 597-8192
Provider SSA County
892
Provider County Name
Smith
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOPKINS COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1984-04-18
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
2
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
1.40775
Reported LPN Staffing Hours per Resident per Day
1.14155
Reported RN Staffing Hours per Resident per Day
0.51620
Reported Licensed Staffing Hours per Resident per Day
1.65775
Reported Total Nurse Staffing Hours per Resident per Day
3.06550
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07254
Expected CNA Staffing Hours per Resident per Day
2.31566
Expected LPN Staffing Hours per Resident per Day
0.63960
Expected RN Staffing Hours per Resident per Day
1.15402
Expected Total Nurse Staffing Hours per Resident per Day
4.10928
Adjusted CNA Staffing Hours per Resident per Day
1.49167
Adjusted LPN Staffing Hours per Resident per Day
1.48138
Adjusted RN Staffing Hours per Resident per Day
0.33423
Adjusted Total Nurse Staffing Hours per Resident per Day
3.00703
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-01-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
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
56
Cycle 2 Standard Health Survey Date
2014-02-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
128
Cycle 3 Standard Health Survey Date
2013-02-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
128
Total Weighted Health Survey Score
64.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
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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