Trinity Terrace - Fort Worth Nursing Home

General Information

UPDATE
Federal Provider Number
675238
Provider Name
TRINITY TERRACE
Provider Address
1600 TEXAS ST
FORT WORTH, TX 76102
Provider Phone Number
(817) 338-2400
Provider SSA County
910
Provider County Name
Tarrant
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
41
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
THE CUMBERLAND REST INC
Date First Approved to Provide Medicare and Medicaid services
1994-01-14
Continuing Care Retirement Community
Y
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
5
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
3.00244
Reported LPN Staffing Hours per Resident per Day
1.58902
Reported RN Staffing Hours per Resident per Day
0.51707
Reported Licensed Staffing Hours per Resident per Day
2.10610
Reported Total Nurse Staffing Hours per Resident per Day
5.10853
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24756
Expected CNA Staffing Hours per Resident per Day
2.14074
Expected LPN Staffing Hours per Resident per Day
0.58464
Expected RN Staffing Hours per Resident per Day
0.90988
Expected Total Nurse Staffing Hours per Resident per Day
3.63527
Adjusted CNA Staffing Hours per Resident per Day
3.44137
Adjusted LPN Staffing Hours per Resident per Day
2.25588
Adjusted RN Staffing Hours per Resident per Day
0.42462
Adjusted Total Nurse Staffing Hours per Resident per Day
5.66450
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
2014-06-11
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
8
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
12.00000
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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