The Plaza At Edgemere Health Care - Dallas Nursing Home
General Information
UPDATEFederal Provider Number
676002
Provider Name
THE PLAZA AT EDGEMERE HEALTH CARE
Provider Address
8502 EDGEMERE
DALLAS, TX 75225
DALLAS, TX 75225
Provider Phone Number
(214) 615-7045
Provider SSA County
390
Provider County Name
Dallas
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
63
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
NORTHWEST SENIOR HOUSING CORPORATION
Date First Approved to Provide Medicare and Medicaid services
2004-02-19
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
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
1.78016
Reported LPN Staffing Hours per Resident per Day
0.95794
Reported RN Staffing Hours per Resident per Day
0.80000
Reported Licensed Staffing Hours per Resident per Day
1.75794
Reported Total Nurse Staffing Hours per Resident per Day
3.53810
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18175
Expected CNA Staffing Hours per Resident per Day
2.56347
Expected LPN Staffing Hours per Resident per Day
0.69768
Expected RN Staffing Hours per Resident per Day
1.31350
Expected Total Nurse Staffing Hours per Resident per Day
4.57465
Adjusted CNA Staffing Hours per Resident per Day
1.70393
Adjusted LPN Staffing Hours per Resident per Day
1.13962
Adjusted RN Staffing Hours per Resident per Day
0.45509
Adjusted Total Nurse Staffing Hours per Resident per Day
3.11756
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-05-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-05-30
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
2012-04-05
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
13.33300
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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