This facility was first approved to provide Medicare and Medicaid services on 09/26/2013. It does not belong to a continuing care retirement community. The affiliated entity name is Mcculloch County Hospital District. This facility has a Resident and Family Council.
The overall rating is 3 stars, with a health inspection rating of 4 stars, a quality measures rating of 2 stars, a long-stay QM rating of 2 stars, a short-stay QM rating of 1 stars, and a staffing rating of 1 stars.
The reported total nurse staffing hours per resident per day is 3 hours and 9 minutes, nurse aide staffing hours is 2 hours and 11 minute, LPN staffing hours is 43 minutes, RN staffing hours is 14 minutes, and licensed staffing hours is 57 minutes. On weekends, total nurse staff hours per resident per day is 2 hours and 58 minutes, and registered nurse hours per resident per day is 8 minutes. Physical therapist staffing hours per resident per day are 1 minute.
The facility has reported 1 facility-related incidents, 0 substantiated complaints, 0 citations from infection control inspections, and 0 fines, with the total amount of fines in dollars being $0. The number of payment denials is 0, and the total number of penalties is 0.
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| Overall Rating | |
| Health Inspection Rating | |
| QM Rating | |
| Long-Stay QM Rating | |
| Short-Stay QM Rating | |
| Staffing Rating |
| Number of Certified Beds | 120 |
| Average Number of Residents per Day | 63.8 |
| Legal Business Name | Mcculloch County Hospital District |
| Affiliated Entity Name | Mcculloch County Hospital District |
| Ownership Type | For profit – Limited Liability company |
| Provider Type | Medicare and Medicaid |
| Provider Resides in Hospital | No |
| Legal Business Name | MCCULLOCH COUNTY HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 9/26/2013 |
| Affiliated Entity Name | MCCULLOCH COUNTY HOSPITAL DISTRICT |
| Continuing Care Retirement Community | No |
| Most Recent Health Inspection More Than 2 Years Ago | No |
| Provider Changed Ownership in Last 12 Months | No |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Reported Total Nurse Staffing Hours per Resident per Day | 3 hours 9 minutes |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2 hours 11 minute |
| Reported LPN Staffing Hours per Resident per Day | 43 minutes |
| Reported RN Staffing Hours per Resident per Day | |
| Reported Licensed Staffing Hours per Resident per Day | 57 minutes |
| Total number of nurse staff hours per resident per day on the weekend | 2 hours 58 minutes |
| Registered Nurse hours per resident per day on the weekend | 8 minutes |
| Reported Physical Therapist Staffing Hours per Resident Per Day | 1 minute 1 second |
| Number of Facility Reported Incidents | 1 |
| Number of Substantiated Complaints | 0 |
| Number of Citations from Infection Control Inspections | 0 |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | 0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Provider | Bed Count | Rating | Distance (Miles) |
| Wesley Woods Health & Rehabilitation | 104 | 2 | 0.8 |
| Hewitt Nursing And Rehabilitation | 140 | 1 | 1.2 |
| St. Anthony’S Care Center | 120 | 4 | 1.7 |
| Regent Care Center Of Woodway | 144 | 4 | 2.1 |
| Greenview Nursing And Rehabilitation | 128 | 1 | 3 |
| The Brazos Of Waco | 123 | 2 | 3.3 |
| Ridgecrest Retirement And Healthcare Community | 90 | 3 | 3.8 |
| Jeffrey Place Healthcare Center | 95 | 1 | 3.8 |
| St. Catherine Center | 165 | 4 | 4.6 |
| Coral Rehabilitation And Nursing Of Waco | 202 | 1 | 6.2 |
Data is based on CMS Nursing homes including rehab services dataset. Processing Date: 11/1/2024.