Village Creek Rehabilitation And Nursing Center - Lumberton Nursing Home
General Information
UPDATEFederal Provider Number
675975
Provider Name
VILLAGE CREEK REHABILITATION AND NURSING CENTER
Provider Address
705 N MAIN ST
LUMBERTON, TX 77657
LUMBERTON, TX 77657
Provider Phone Number
(409) 755-0100
Provider SSA County
600
Provider County Name
Hardin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NEXION HEALTH AT LUMBERTON, INC.
Date First Approved to Provide Medicare and Medicaid services
2003-07-03
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
2.01094
Reported LPN Staffing Hours per Resident per Day
0.91563
Reported RN Staffing Hours per Resident per Day
0.57344
Reported Licensed Staffing Hours per Resident per Day
1.48906
Reported Total Nurse Staffing Hours per Resident per Day
3.50001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09375
Expected CNA Staffing Hours per Resident per Day
2.34477
Expected LPN Staffing Hours per Resident per Day
0.62576
Expected RN Staffing Hours per Resident per Day
1.15883
Expected Total Nurse Staffing Hours per Resident per Day
4.12936
Adjusted CNA Staffing Hours per Resident per Day
2.10436
Adjusted LPN Staffing Hours per Resident per Day
1.21447
Adjusted RN Staffing Hours per Resident per Day
0.36975
Adjusted Total Nurse Staffing Hours per Resident per Day
3.41656
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-07-31
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-08-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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