Ussery Roan Texas State Veterans Home - Amarillo Nursing Home
General Information
UPDATEFederal Provider Number
676157
Provider Name
USSERY ROAN TEXAS STATE VETERANS HOME
Provider Address
1020 TASCOSA RD
AMARILLO, TX 79124
AMARILLO, TX 79124
Provider Phone Number
(806) 322-8387
Provider SSA County
860
Provider County Name
Potter
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
120
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STATE OF TEXAS VETERANS LAND BOARD
Date First Approved to Provide Medicare and Medicaid services
2007-11-15
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
1.97059
Reported LPN Staffing Hours per Resident per Day
0.90210
Reported RN Staffing Hours per Resident per Day
0.53571
Reported Licensed Staffing Hours per Resident per Day
1.43782
Reported Total Nurse Staffing Hours per Resident per Day
3.40840
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03655
Expected CNA Staffing Hours per Resident per Day
2.29542
Expected LPN Staffing Hours per Resident per Day
0.59033
Expected RN Staffing Hours per Resident per Day
0.95868
Expected Total Nurse Staffing Hours per Resident per Day
3.84443
Adjusted CNA Staffing Hours per Resident per Day
2.10647
Adjusted LPN Staffing Hours per Resident per Day
1.26836
Adjusted RN Staffing Hours per Resident per Day
0.41753
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57372
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
108
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
108
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-11-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
88.66700
Number of Facility Reported Incidents
2
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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