Villa Haven Health And Rehabilitation Center - Breckenridge Nursing Home
General Information
UPDATEFederal Provider Number
675279
Provider Name
VILLA HAVEN HEALTH AND REHABILITATION CENTER
Provider Address
300 S JACKSON ST
BRECKENRIDGE, TX 76424
BRECKENRIDGE, TX 76424
Provider Phone Number
(254) 559-3386
Provider SSA County
901
Provider County Name
Stephens
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLA HAVEN HEALTH CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1994-03-18
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
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
1.82927
Reported LPN Staffing Hours per Resident per Day
0.97561
Reported RN Staffing Hours per Resident per Day
0.47439
Reported Licensed Staffing Hours per Resident per Day
1.45000
Reported Total Nurse Staffing Hours per Resident per Day
3.27927
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07805
Expected CNA Staffing Hours per Resident per Day
2.66878
Expected LPN Staffing Hours per Resident per Day
0.69621
Expected RN Staffing Hours per Resident per Day
1.05450
Expected Total Nurse Staffing Hours per Resident per Day
4.41949
Adjusted CNA Staffing Hours per Resident per Day
1.68185
Adjusted LPN Staffing Hours per Resident per Day
1.16310
Adjusted RN Staffing Hours per Resident per Day
0.33614
Adjusted Total Nurse Staffing Hours per Resident per Day
2.99094
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
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
72
Cycle 2 Standard Health Survey Date
2013-12-12
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
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2013-02-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
76.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
5525
Number of Payment Denials
2
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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