West Side Campus Of Care - White Settlement Nursing Home
General Information
UPDATEFederal Provider Number
455592
Provider Name
WEST SIDE CAMPUS OF CARE
Provider Address
1950 S LAS VEGAS TRAIL
WHITE SETTLEMENT, TX 76108
WHITE SETTLEMENT, TX 76108
Provider Phone Number
(817) 246-4995
Provider SSA County
910
Provider County Name
Tarrant
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
240
Number of Residents in Certified Beds
160
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FORT WORTH WEST SIDE LTD
Date First Approved to Provide Medicare and Medicaid services
1986-01-15
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
1
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
1.86344
Reported LPN Staffing Hours per Resident per Day
1.01156
Reported RN Staffing Hours per Resident per Day
0.38656
Reported Licensed Staffing Hours per Resident per Day
1.39813
Reported Total Nurse Staffing Hours per Resident per Day
3.26156
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02938
Expected CNA Staffing Hours per Resident per Day
2.38711
Expected LPN Staffing Hours per Resident per Day
0.70426
Expected RN Staffing Hours per Resident per Day
1.14231
Expected Total Nurse Staffing Hours per Resident per Day
4.23367
Adjusted CNA Staffing Hours per Resident per Day
1.91543
Adjusted LPN Staffing Hours per Resident per Day
1.19217
Adjusted RN Staffing Hours per Resident per Day
0.25285
Adjusted Total Nurse Staffing Hours per Resident per Day
3.10535
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
443
Cycle 2 Standard Health Survey Date
2013-08-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
443
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
193.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
216028
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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