Woodridge Nursing & Rehabilitation - Grapevine Nursing Home
General Information
UPDATEFederal Provider Number
675905
Provider Name
WOODRIDGE NURSING & REHABILITATION
Provider Address
1500 AUTUMN DR
GRAPEVINE, TX 76051
GRAPEVINE, TX 76051
Provider Phone Number
(817) 488-8585
Provider SSA County
910
Provider County Name
Tarrant
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
126
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINNACLE HEALTH FACILITIES XV, L.P.
Date First Approved to Provide Medicare and Medicaid services
2002-02-05
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
1.91534
Reported LPN Staffing Hours per Resident per Day
1.20625
Reported RN Staffing Hours per Resident per Day
0.55625
Reported Licensed Staffing Hours per Resident per Day
1.76250
Reported Total Nurse Staffing Hours per Resident per Day
3.67784
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10568
Expected CNA Staffing Hours per Resident per Day
2.55381
Expected LPN Staffing Hours per Resident per Day
0.60173
Expected RN Staffing Hours per Resident per Day
0.99475
Expected Total Nurse Staffing Hours per Resident per Day
4.15028
Adjusted CNA Staffing Hours per Resident per Day
1.84026
Adjusted LPN Staffing Hours per Resident per Day
1.66385
Adjusted RN Staffing Hours per Resident per Day
0.41782
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57205
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-02-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-02-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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