Vivians Nursing Home - Amarillo Nursing Home
General Information
UPDATEFederal Provider Number
676162
Provider Name
VIVIANS NURSING HOME
Provider Address
508 N TAYLOR
AMARILLO, TX 79107
AMARILLO, TX 79107
Provider Phone Number
(806) 372-6822
Provider SSA County
860
Provider County Name
Potter
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
53
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WBM MANAGEMENT COMPANY
Date First Approved to Provide Medicare and Medicaid services
2008-01-03
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.76486
Reported LPN Staffing Hours per Resident per Day
1.42027
Reported RN Staffing Hours per Resident per Day
0.21622
Reported Licensed Staffing Hours per Resident per Day
1.63649
Reported Total Nurse Staffing Hours per Resident per Day
4.40135
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.47626
Expected LPN Staffing Hours per Resident per Day
0.57626
Expected RN Staffing Hours per Resident per Day
0.84687
Expected Total Nurse Staffing Hours per Resident per Day
3.89939
Adjusted CNA Staffing Hours per Resident per Day
2.73967
Adjusted LPN Staffing Hours per Resident per Day
2.04565
Adjusted RN Staffing Hours per Resident per Day
0.19077
Adjusted Total Nurse Staffing Hours per Resident per Day
4.54978
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
818
Cycle 1 Standard Survey Health Date
2014-11-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
818
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-12-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
24
Cycle 3 Number of Standard Health Deficiencies
24
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
878
Cycle 3 Standard Health Survey Date
2013-01-11
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
878
Total Weighted Health Survey Score
566.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
Number of Fines
4
Total Amount of Fines in Dollars
10401
Number of Payment Denials
2
Total Number of Penalties
6
Location
Processing Date
2015-06-01
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