Traymore Nursing Center - Dallas Nursing Home
General Information
UPDATEFederal Provider Number
675754
Provider Name
TRAYMORE NURSING CENTER
Provider Address
4315 HOPKINS AVE
DALLAS, TX 75209
DALLAS, TX 75209
Provider Phone Number
2143583131
Provider SSA County
390
Provider County Name
Dallas
Ownership Type
For profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOURSQUARE SNF INC
Date First Approved to Provide Medicare and Medicaid services
1998-06-24
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
2.63235
Reported LPN Staffing Hours per Resident per Day
1.09044
Reported RN Staffing Hours per Resident per Day
1.38456
Reported Licensed Staffing Hours per Resident per Day
2.47500
Reported Total Nurse Staffing Hours per Resident per Day
5.10735
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14779
Expected CNA Staffing Hours per Resident per Day
2.62646
Expected LPN Staffing Hours per Resident per Day
0.80284
Expected RN Staffing Hours per Resident per Day
1.50386
Expected Total Nurse Staffing Hours per Resident per Day
4.93317
Adjusted CNA Staffing Hours per Resident per Day
2.45920
Adjusted LPN Staffing Hours per Resident per Day
1.12732
Adjusted RN Staffing Hours per Resident per Day
0.68792
Adjusted Total Nurse Staffing Hours per Resident per Day
4.17323
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
2015-01-29
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
2405
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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