Woodville Health And Rehabilitation Center - Woodville Nursing Home
General Information
UPDATEFederal Provider Number
675120
Provider Name
WOODVILLE HEALTH AND REHABILITATION CENTER
Provider Address
102 N BEACH ST
WOODVILLE, TX 75979
WOODVILLE, TX 75979
Provider Phone Number
(409) 283-2555
Provider SSA County
942
Provider County Name
Tyler
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
98
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOODVILLE HEALTH CARE CENTER LTD. CO
Date First Approved to Provide Medicare and Medicaid services
1993-04-12
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
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.36579
Reported LPN Staffing Hours per Resident per Day
1.13947
Reported RN Staffing Hours per Resident per Day
0.41140
Reported Licensed Staffing Hours per Resident per Day
1.55088
Reported Total Nurse Staffing Hours per Resident per Day
2.91666
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.45638
Expected LPN Staffing Hours per Resident per Day
0.69027
Expected RN Staffing Hours per Resident per Day
1.15269
Expected Total Nurse Staffing Hours per Resident per Day
4.29933
Adjusted CNA Staffing Hours per Resident per Day
1.36430
Adjusted LPN Staffing Hours per Resident per Day
1.37014
Adjusted RN Staffing Hours per Resident per Day
0.26668
Adjusted Total Nurse Staffing Hours per Resident per Day
2.73456
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
12
Cycle 1 Standard Survey Health Date
2014-12-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-03-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
15.33300
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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Nursiong Homes Nearby
Dogwood Trails Manor
647 Us Hwy 190 W |
WOODVILLE TX 75979 | 0.9 mile away