Will-o-bell - Bartlett Nursing Home
General Information
UPDATEFederal Provider Number
676026
Provider Name
WILL-O-BELL
Provider Address
412 N DALTON
BARTLETT, TX 76511
BARTLETT, TX 76511
Provider Phone Number
2545273371
Provider SSA County
120
Provider County Name
Bell
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOB FACILITY MANAGEMENT, LLC
Date First Approved to Provide Medicare and Medicaid services
2004-07-19
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
3
Health Inspection Rating Footnote
QM Rating
5
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
2.91940
Reported LPN Staffing Hours per Resident per Day
0.72985
Reported RN Staffing Hours per Resident per Day
0.38582
Reported Licensed Staffing Hours per Resident per Day
1.11567
Reported Total Nurse Staffing Hours per Resident per Day
4.03507
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07910
Expected CNA Staffing Hours per Resident per Day
2.38616
Expected LPN Staffing Hours per Resident per Day
0.57580
Expected RN Staffing Hours per Resident per Day
0.90834
Expected Total Nurse Staffing Hours per Resident per Day
3.87030
Adjusted CNA Staffing Hours per Resident per Day
3.00203
Adjusted LPN Staffing Hours per Resident per Day
1.05206
Adjusted RN Staffing Hours per Resident per Day
0.31738
Adjusted Total Nurse Staffing Hours per Resident per Day
4.20251
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-04
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
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
148
Cycle 2 Standard Health Survey Date
2013-10-02
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
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
24
Total Weighted Health Survey Score
65.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
3000
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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