The Courtyards At Fort Worth - Fort Worth Nursing Home
General Information
UPDATEFederal Provider Number
455416
Provider Name
THE COURTYARDS AT FORT WORTH
Provider Address
8001 WESTERN HILLS BLVD
FORT WORTH, TX 76108
FORT WORTH, TX 76108
Provider Phone Number
(817) 246-4953
Provider SSA County
910
Provider County Name
Tarrant
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
265
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SWC FORT WORTH OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1973-09-26
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
1.95088
Reported LPN Staffing Hours per Resident per Day
1.86062
Reported RN Staffing Hours per Resident per Day
0.20265
Reported Licensed Staffing Hours per Resident per Day
2.06327
Reported Total Nurse Staffing Hours per Resident per Day
4.01415
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05044
Expected CNA Staffing Hours per Resident per Day
2.22305
Expected LPN Staffing Hours per Resident per Day
0.68531
Expected RN Staffing Hours per Resident per Day
1.24193
Expected Total Nurse Staffing Hours per Resident per Day
4.15030
Adjusted CNA Staffing Hours per Resident per Day
2.15329
Adjusted LPN Staffing Hours per Resident per Day
2.25345
Adjusted RN Staffing Hours per Resident per Day
0.12192
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89867
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-12-17
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
15
Cycle 2 Health Deficiency Score
1867
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
1867
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
953
Cycle 3 Standard Health Survey Date
2013-02-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
953
Total Weighted Health Survey Score
793.16700
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
12
Number of Fines
4
Total Amount of Fines in Dollars
461835
Number of Payment Denials
1
Total Number of Penalties
5
Location
Processing Date
2015-06-01
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