The Heritage Nursing Home - Quitman Nursing Home
General Information
UPDATEFederal Provider Number
675553
Provider Name
THE HERITAGE NURSING HOME
Provider Address
1026 E GOODE ST
QUITMAN, TX 75783
QUITMAN, TX 75783
Provider Phone Number
(903) 763-2284
Provider SSA County
974
Provider County Name
Wood
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
164
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNNYBROOK SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1995-10-10
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
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
3.54632
Reported LPN Staffing Hours per Resident per Day
1.26250
Reported RN Staffing Hours per Resident per Day
0.40735
Reported Licensed Staffing Hours per Resident per Day
1.66985
Reported Total Nurse Staffing Hours per Resident per Day
5.21617
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01029
Expected CNA Staffing Hours per Resident per Day
2.41186
Expected LPN Staffing Hours per Resident per Day
0.60914
Expected RN Staffing Hours per Resident per Day
1.01614
Expected Total Nurse Staffing Hours per Resident per Day
4.03714
Adjusted CNA Staffing Hours per Resident per Day
3.60785
Adjusted LPN Staffing Hours per Resident per Day
1.72025
Adjusted RN Staffing Hours per Resident per Day
0.29954
Adjusted Total Nurse Staffing Hours per Resident per Day
5.20811
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
164
Cycle 1 Standard Survey Health Date
2014-06-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
164
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
128
Cycle 2 Standard Health Survey Date
2013-08-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
128
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
131.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
10725
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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