Twin Oaks Health And Rehabilitation Center - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
675183
Provider Name
TWIN OAKS HEALTH AND REHABILITATION CENTER
Provider Address
1123 N BOLTON ST
JACKSONVILLE, TX 75766
JACKSONVILLE, TX 75766
Provider Phone Number
(903) 586-9031
Provider SSA County
281
Provider County Name
Cherokee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JACKSONVILLE III ENTERPRISES LLC
Date First Approved to Provide Medicare and Medicaid services
1999-01-07
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
4
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
3.02569
Reported LPN Staffing Hours per Resident per Day
2.18958
Reported RN Staffing Hours per Resident per Day
0.39444
Reported Licensed Staffing Hours per Resident per Day
2.58403
Reported Total Nurse Staffing Hours per Resident per Day
5.60971
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00486
Expected CNA Staffing Hours per Resident per Day
2.59870
Expected LPN Staffing Hours per Resident per Day
0.68833
Expected RN Staffing Hours per Resident per Day
1.14669
Expected Total Nurse Staffing Hours per Resident per Day
4.43372
Adjusted CNA Staffing Hours per Resident per Day
2.85686
Adjusted LPN Staffing Hours per Resident per Day
2.64022
Adjusted RN Staffing Hours per Resident per Day
0.25702
Adjusted Total Nurse Staffing Hours per Resident per Day
5.10004
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
4
Cycle 1 Standard Survey Health Date
2014-07-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-07-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
156
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
156
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
1300
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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