Three Rivers Nursing Home Llc - Three Rivers Nursing Home

General Information

UPDATE
Federal Provider Number
676038
Provider Name
THREE RIVERS NURSING HOME LLC
Provider Address
1717 45THST
THREE RIVERS, TX 78071
Provider Phone Number
(361) 786-2256
Provider SSA County
760
Provider County Name
Live Oak
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THREE RIVERS NURSING HOME L.L.C.
Date First Approved to Provide Medicare and Medicaid services
2004-10-04
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.85000
Reported LPN Staffing Hours per Resident per Day
0.79677
Reported RN Staffing Hours per Resident per Day
0.70000
Reported Licensed Staffing Hours per Resident per Day
1.49677
Reported Total Nurse Staffing Hours per Resident per Day
3.34677
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03710
Expected CNA Staffing Hours per Resident per Day
2.16197
Expected LPN Staffing Hours per Resident per Day
0.53899
Expected RN Staffing Hours per Resident per Day
0.75539
Expected Total Nurse Staffing Hours per Resident per Day
3.45635
Adjusted CNA Staffing Hours per Resident per Day
2.09964
Adjusted LPN Staffing Hours per Resident per Day
1.22695
Adjusted RN Staffing Hours per Resident per Day
0.69241
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90310
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-10-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
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
24
Cycle 2 Standard Health Survey Date
2013-10-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-10-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
42.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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