Trail Lake Nursing & Rehabilitation - Fort Worth Nursing Home
General Information
UPDATEFederal Provider Number
676132
Provider Name
TRAIL LAKE NURSING & REHABILITATION
Provider Address
7100 TRAIL LAKE DR
FORT WORTH, TX 76133
FORT WORTH, TX 76133
Provider Phone Number
(817) 263-2224
Provider SSA County
910
Provider County Name
Tarrant
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DTD DEVELOPMENT LLC
Date First Approved to Provide Medicare and Medicaid services
2007-03-29
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
3.29583
Reported LPN Staffing Hours per Resident per Day
0.89740
Reported RN Staffing Hours per Resident per Day
0.43906
Reported Licensed Staffing Hours per Resident per Day
1.33646
Reported Total Nurse Staffing Hours per Resident per Day
4.63229
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15573
Expected CNA Staffing Hours per Resident per Day
2.40685
Expected LPN Staffing Hours per Resident per Day
0.61543
Expected RN Staffing Hours per Resident per Day
1.16841
Expected Total Nurse Staffing Hours per Resident per Day
4.19069
Adjusted CNA Staffing Hours per Resident per Day
3.35999
Adjusted LPN Staffing Hours per Resident per Day
1.21029
Adjusted RN Staffing Hours per Resident per Day
0.28078
Adjusted Total Nurse Staffing Hours per Resident per Day
4.45566
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
16
Cycle 1 Standard Survey Health Date
2014-05-14
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-05-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
26.66700
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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