Vista Ridge Nursing & Rehabilitation Center - Lewisville Nursing Home
General Information
UPDATEFederal Provider Number
676036
Provider Name
VISTA RIDGE NURSING & REHABILITATION CENTER
Provider Address
700 E VISTA RIDGE MALL DR
LEWISVILLE, TX 75067
LEWISVILLE, TX 75067
Provider Phone Number
9729069789
Provider SSA County
410
Provider County Name
Denton
Ownership Type
For profit - Partnership
Number of Certified Beds
132
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PM MANAGEMENT - LEWISVILLE NC LLC
Date First Approved to Provide Medicare and Medicaid services
2004-10-05
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
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
0.80052
Reported LPN Staffing Hours per Resident per Day
0.43490
Reported RN Staffing Hours per Resident per Day
0.68906
Reported Licensed Staffing Hours per Resident per Day
1.12396
Reported Total Nurse Staffing Hours per Resident per Day
1.92448
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14896
Expected CNA Staffing Hours per Resident per Day
2.49604
Expected LPN Staffing Hours per Resident per Day
0.70453
Expected RN Staffing Hours per Resident per Day
1.18655
Expected Total Nurse Staffing Hours per Resident per Day
4.38711
Adjusted CNA Staffing Hours per Resident per Day
0.78694
Adjusted LPN Staffing Hours per Resident per Day
0.51235
Adjusted RN Staffing Hours per Resident per Day
0.43392
Adjusted Total Nurse Staffing Hours per Resident per Day
1.76822
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
758
Cycle 1 Standard Survey Health Date
2014-10-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
758
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
40
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
360
Cycle 3 Standard Health Survey Date
2012-11-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
360
Total Weighted Health Survey Score
452.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
8
Number of Fines
3
Total Amount of Fines in Dollars
102603
Number of Payment Denials
1
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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