The Legacy At Preston Hollow - Dallas Nursing Home
General Information
UPDATEFederal Provider Number
675893
Provider Name
THE LEGACY AT PRESTON HOLLOW
Provider Address
11409 N CENTRAL EXPWY
DALLAS, TX 75243
DALLAS, TX 75243
Provider Phone Number
2143635100
Provider SSA County
390
Provider County Name
Dallas
Ownership Type
Non profit - Corporation
Number of Certified Beds
142
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DALLAS HOME FOR JEWISH AGED, INC.
Date First Approved to Provide Medicare and Medicaid services
2001-11-28
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
3.17802
Reported LPN Staffing Hours per Resident per Day
1.26209
Reported RN Staffing Hours per Resident per Day
0.62747
Reported Licensed Staffing Hours per Resident per Day
1.88956
Reported Total Nurse Staffing Hours per Resident per Day
5.06758
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11484
Expected CNA Staffing Hours per Resident per Day
2.65051
Expected LPN Staffing Hours per Resident per Day
0.72856
Expected RN Staffing Hours per Resident per Day
1.18990
Expected Total Nurse Staffing Hours per Resident per Day
4.56897
Adjusted CNA Staffing Hours per Resident per Day
2.94204
Adjusted LPN Staffing Hours per Resident per Day
1.43781
Adjusted RN Staffing Hours per Resident per Day
0.39402
Adjusted Total Nurse Staffing Hours per Resident per Day
4.47079
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-04-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-03-09
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
38.66700
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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