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Valley Fair Lodge - Colorado City Nursing Home

General Information

UPDATE
Federal Provider Number
676225
Provider Name
VALLEY FAIR LODGE
Provider Address
1541 CHESTNUT ST
COLORADO CITY, TX 79512
Provider Phone Number
(325) 728-2634
Provider SSA County
797
Provider County Name
Mitchell
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
50
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2009-10-15
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.19861
Reported LPN Staffing Hours per Resident per Day
1.03611
Reported RN Staffing Hours per Resident per Day
0.34861
Reported Licensed Staffing Hours per Resident per Day
1.38472
Reported Total Nurse Staffing Hours per Resident per Day
3.58333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.22813
Expected LPN Staffing Hours per Resident per Day
0.58939
Expected RN Staffing Hours per Resident per Day
0.82829
Expected Total Nurse Staffing Hours per Resident per Day
3.64581
Adjusted CNA Staffing Hours per Resident per Day
2.42119
Adjusted LPN Staffing Hours per Resident per Day
1.45908
Adjusted RN Staffing Hours per Resident per Day
0.31448
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96182
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
48
Cycle 2 Standard Health Survey Date
2013-02-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-12-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
41.33300
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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