West Texas Ltc Partners Inc - San Angelo Nursing Home
General Information
UPDATEFederal Provider Number
676068
Provider Name
WEST TEXAS LTC PARTNERS INC
Provider Address
1915 GREENWOOD ST
SAN ANGELO, TX 76901
SAN ANGELO, TX 76901
Provider Phone Number
(325) 942-0677
Provider SSA County
930
Provider County Name
Tom Green
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
184
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WEST TEXAS LTC PARTNERS, INC.
Date First Approved to Provide Medicare and Medicaid services
2005-08-30
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
3
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
2.45833
Reported LPN Staffing Hours per Resident per Day
0.83944
Reported RN Staffing Hours per Resident per Day
0.47278
Reported Licensed Staffing Hours per Resident per Day
1.31222
Reported Total Nurse Staffing Hours per Resident per Day
3.77055
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08111
Expected CNA Staffing Hours per Resident per Day
2.21666
Expected LPN Staffing Hours per Resident per Day
0.61345
Expected RN Staffing Hours per Resident per Day
1.12532
Expected Total Nurse Staffing Hours per Resident per Day
3.95544
Adjusted CNA Staffing Hours per Resident per Day
2.72121
Adjusted LPN Staffing Hours per Resident per Day
1.13576
Adjusted RN Staffing Hours per Resident per Day
0.31392
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84249
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-10-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
29
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
12
Cycle 2 Health Deficiency Score
675
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
675
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
18
Cycle 3 Health Deficiency Score
377
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
377
Total Weighted Health Survey Score
335.83300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
12
Number of Fines
3
Total Amount of Fines in Dollars
7475
Number of Payment Denials
1
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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