The Stayton At Museum Way - Fort Worth Nursing Home
General Information
UPDATEFederal Provider Number
676305
Provider Name
THE STAYTON AT MUSEUM WAY
Provider Address
2501 MUSEUM WAY
FORT WORTH, TX 76107
FORT WORTH, TX 76107
Provider Phone Number
(817) 632-3600
Provider SSA County
910
Provider County Name
Tarrant
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
43
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
TARRANT COUNTY SENIOR LIVING CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
2011-12-29
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
3.25465
Reported LPN Staffing Hours per Resident per Day
1.31047
Reported RN Staffing Hours per Resident per Day
0.84070
Reported Licensed Staffing Hours per Resident per Day
2.15116
Reported Total Nurse Staffing Hours per Resident per Day
5.40582
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15814
Expected CNA Staffing Hours per Resident per Day
2.43094
Expected LPN Staffing Hours per Resident per Day
0.62435
Expected RN Staffing Hours per Resident per Day
1.25072
Expected Total Nurse Staffing Hours per Resident per Day
4.30602
Adjusted CNA Staffing Hours per Resident per Day
3.28512
Adjusted LPN Staffing Hours per Resident per Day
1.74212
Adjusted RN Staffing Hours per Resident per Day
0.50225
Adjusted Total Nurse Staffing Hours per Resident per Day
5.06044
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
580
Cycle 1 Standard Survey Health Date
2014-11-14
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
580
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-10
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
2012-12-07
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
290.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
10000
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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