Van Healthcare Llc - Van Nursing Home
General Information
UPDATEFederal Provider Number
455856
Provider Name
VAN HEALTHCARE LLC
Provider Address
169 S OAK ST
VAN, TX 75790
VAN, TX 75790
Provider Phone Number
(903) 963-8641
Provider SSA County
947
Provider County Name
Van Zandt
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VAN HEALTHCARE PARTNERS LLC
Date First Approved to Provide Medicare and Medicaid services
1989-12-07
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.26875
Reported LPN Staffing Hours per Resident per Day
0.99875
Reported RN Staffing Hours per Resident per Day
0.42750
Reported Licensed Staffing Hours per Resident per Day
1.42625
Reported Total Nurse Staffing Hours per Resident per Day
3.69500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03750
Expected CNA Staffing Hours per Resident per Day
2.33531
Expected LPN Staffing Hours per Resident per Day
0.57102
Expected RN Staffing Hours per Resident per Day
0.81660
Expected Total Nurse Staffing Hours per Resident per Day
3.72292
Adjusted CNA Staffing Hours per Resident per Day
2.38377
Adjusted LPN Staffing Hours per Resident per Day
1.45173
Adjusted RN Staffing Hours per Resident per Day
0.39117
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00067
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-12-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2014-01-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
69.33300
Number of Facility Reported Incidents
0
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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