The Village At Richardson - Richardson Nursing Home
General Information
UPDATEFederal Provider Number
675109
Provider Name
THE VILLAGE AT RICHARDSON
Provider Address
1111 ROCKINGHAM LN
RICHARDSON, TX 75080
RICHARDSON, TX 75080
Provider Phone Number
(972) 231-8833
Provider SSA County
390
Provider County Name
Dallas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
280
Number of Residents in Certified Beds
155
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THI OF TEXAS AT RICHARDSON, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-02-11
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.36452
Reported LPN Staffing Hours per Resident per Day
1.04839
Reported RN Staffing Hours per Resident per Day
0.35710
Reported Licensed Staffing Hours per Resident per Day
1.40548
Reported Total Nurse Staffing Hours per Resident per Day
3.77001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10548
Expected CNA Staffing Hours per Resident per Day
2.51253
Expected LPN Staffing Hours per Resident per Day
0.77620
Expected RN Staffing Hours per Resident per Day
1.26120
Expected Total Nurse Staffing Hours per Resident per Day
4.54993
Adjusted CNA Staffing Hours per Resident per Day
2.30915
Adjusted LPN Staffing Hours per Resident per Day
1.12106
Adjusted RN Staffing Hours per Resident per Day
0.21156
Adjusted Total Nurse Staffing Hours per Resident per Day
3.33995
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
8
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
12
Cycle 2 Health Deficiency Score
220
Cycle 2 Standard Health Survey Date
2013-11-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
220
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-11-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
88.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
10
Number of Fines
4
Total Amount of Fines in Dollars
13000
Number of Payment Denials
0
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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