Wedgewood Nursing Home - Fort Worth Nursing Home
General Information
UPDATEFederal Provider Number
455572
Provider Name
WEDGEWOOD NURSING HOME
Provider Address
6621 DAN DANCIGER RD
FORT WORTH, TX 76133
FORT WORTH, TX 76133
Provider Phone Number
8172926330
Provider SSA County
910
Provider County Name
Tarrant
Ownership Type
For profit - Corporation
Number of Certified Beds
93
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WEDGEWOOD SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1985-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.15108
Reported LPN Staffing Hours per Resident per Day
0.97312
Reported RN Staffing Hours per Resident per Day
0.34355
Reported Licensed Staffing Hours per Resident per Day
1.31667
Reported Total Nurse Staffing Hours per Resident per Day
3.46775
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.34714
Expected LPN Staffing Hours per Resident per Day
0.63569
Expected RN Staffing Hours per Resident per Day
1.18120
Expected Total Nurse Staffing Hours per Resident per Day
4.16403
Adjusted CNA Staffing Hours per Resident per Day
2.24874
Adjusted LPN Staffing Hours per Resident per Day
1.27057
Adjusted RN Staffing Hours per Resident per Day
0.21732
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35688
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
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
24
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-11-27
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
30.66700
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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