White Settlement Nursing Center - White Settlement Nursing Home
General Information
UPDATEFederal Provider Number
455475
Provider Name
WHITE SETTLEMENT NURSING CENTER
Provider Address
7820 SKYLINE PARK DR
WHITE SETTLEMENT, TX 76108
WHITE SETTLEMENT, TX 76108
Provider Phone Number
8172464671
Provider SSA County
910
Provider County Name
Tarrant
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WHITE SETTLEMENT SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1983-01-12
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
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
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
1.83646
Reported LPN Staffing Hours per Resident per Day
0.59635
Reported RN Staffing Hours per Resident per Day
0.47865
Reported Licensed Staffing Hours per Resident per Day
1.07500
Reported Total Nurse Staffing Hours per Resident per Day
2.91146
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01250
Expected CNA Staffing Hours per Resident per Day
2.26266
Expected LPN Staffing Hours per Resident per Day
0.62890
Expected RN Staffing Hours per Resident per Day
1.11247
Expected Total Nurse Staffing Hours per Resident per Day
4.00403
Adjusted CNA Staffing Hours per Resident per Day
1.99152
Adjusted LPN Staffing Hours per Resident per Day
0.78704
Adjusted RN Staffing Hours per Resident per Day
0.32149
Adjusted Total Nurse Staffing Hours per Resident per Day
2.93100
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-02-22
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
4500
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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