Wisteria Place - Abilene Nursing Home
General Information
UPDATEFederal Provider Number
675593
Provider Name
WISTERIA PLACE
Provider Address
3202 S WILLIS ST
ABILENE, TX 79605
ABILENE, TX 79605
Provider Phone Number
(325) 692-6145
Provider SSA County
911
Provider County Name
Taylor
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
123
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTHERN OAKS HEALTHCARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-07-01
Continuing Care Retirement Community
Y
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.00843
Reported LPN Staffing Hours per Resident per Day
0.86386
Reported RN Staffing Hours per Resident per Day
0.78373
Reported Licensed Staffing Hours per Resident per Day
1.64759
Reported Total Nurse Staffing Hours per Resident per Day
3.65602
Reported Physical Therapist Staffing Hours per Resident Per Day
0.31145
Expected CNA Staffing Hours per Resident per Day
2.46702
Expected LPN Staffing Hours per Resident per Day
0.63656
Expected RN Staffing Hours per Resident per Day
1.12343
Expected Total Nurse Staffing Hours per Resident per Day
4.22701
Adjusted CNA Staffing Hours per Resident per Day
1.99759
Adjusted LPN Staffing Hours per Resident per Day
1.12638
Adjusted RN Staffing Hours per Resident per Day
0.52126
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48640
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
20
Cycle 1 Standard Survey Health Date
2014-10-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-09-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
0
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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