The Legacy At Willow Bend - Plano Nursing Home
General Information
UPDATEFederal Provider Number
676189
Provider Name
THE LEGACY AT WILLOW BEND
Provider Address
6101 OHIO STE 500
PLANO, TX 75024
PLANO, TX 75024
Provider Phone Number
(972) 468-6300
Provider SSA County
310
Provider County Name
Collin
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
60
Number of Residents in Certified Beds
52
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
THE LEGACY AT WILLOW BEND RETIREMENT COMMUNITY INC
Date First Approved to Provide Medicare and Medicaid services
2008-07-24
Continuing Care Retirement Community
Y
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
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
3.24327
Reported LPN Staffing Hours per Resident per Day
1.08846
Reported RN Staffing Hours per Resident per Day
0.89808
Reported Licensed Staffing Hours per Resident per Day
1.98654
Reported Total Nurse Staffing Hours per Resident per Day
5.22981
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22500
Expected CNA Staffing Hours per Resident per Day
2.53208
Expected LPN Staffing Hours per Resident per Day
0.78859
Expected RN Staffing Hours per Resident per Day
1.53605
Expected Total Nurse Staffing Hours per Resident per Day
4.85672
Adjusted CNA Staffing Hours per Resident per Day
3.14287
Adjusted LPN Staffing Hours per Resident per Day
1.14562
Adjusted RN Staffing Hours per Resident per Day
0.43686
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34055
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-08-16
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
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
2012-08-23
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
1
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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