William R Courtney Texas State Veterans Home - Temple Nursing Home

General Information

UPDATE
Federal Provider Number
675857
Provider Name
WILLIAM R COURTNEY TEXAS STATE VETERANS HOME
Provider Address
1424 MARTIN LUTHER KING JR LN
TEMPLE, TX 76504
Provider Phone Number
2547918280
Provider SSA County
120
Provider County Name
Bell
Ownership Type
Government - State
Number of Certified Beds
160
Number of Residents in Certified Beds
152
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STATE OF TEXAS VETERANS LAND BOARD
Date First Approved to Provide Medicare and Medicaid services
2000-12-21
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.89046
Reported LPN Staffing Hours per Resident per Day
0.69934
Reported RN Staffing Hours per Resident per Day
0.56217
Reported Licensed Staffing Hours per Resident per Day
1.26151
Reported Total Nurse Staffing Hours per Resident per Day
3.15197
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00757
Expected CNA Staffing Hours per Resident per Day
2.30831
Expected LPN Staffing Hours per Resident per Day
0.58003
Expected RN Staffing Hours per Resident per Day
0.88003
Expected Total Nurse Staffing Hours per Resident per Day
3.76837
Adjusted CNA Staffing Hours per Resident per Day
2.00954
Adjusted LPN Staffing Hours per Resident per Day
1.00073
Adjusted RN Staffing Hours per Resident per Day
0.47732
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37156
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-05-22
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
55.33300
Number of Facility Reported Incidents
4
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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