Victoria Residence And Rehabilitation Center - Victoria Nursing Home
General Information
UPDATEFederal Provider Number
675480
Provider Name
VICTORIA RESIDENCE AND REHABILITATION CENTER
Provider Address
114 MEDICAL DR
VICTORIA, TX 77904
VICTORIA, TX 77904
Provider Phone Number
(361) 576-6128
Provider SSA County
948
Provider County Name
Victoria
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
122
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DEWITT MEDICAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1995-05-04
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
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
2.06194
Reported LPN Staffing Hours per Resident per Day
1.06418
Reported RN Staffing Hours per Resident per Day
0.29030
Reported Licensed Staffing Hours per Resident per Day
1.35448
Reported Total Nurse Staffing Hours per Resident per Day
3.41642
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00672
Expected CNA Staffing Hours per Resident per Day
2.33624
Expected LPN Staffing Hours per Resident per Day
0.70793
Expected RN Staffing Hours per Resident per Day
1.21307
Expected Total Nurse Staffing Hours per Resident per Day
4.25724
Adjusted CNA Staffing Hours per Resident per Day
2.16561
Adjusted LPN Staffing Hours per Resident per Day
1.24768
Adjusted RN Staffing Hours per Resident per Day
0.17881
Adjusted Total Nurse Staffing Hours per Resident per Day
3.23479
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-12-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-11-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-12-14
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
46.00000
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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