Providence Park Rehabilitation And Skilled Nursing
Providence Park Rehabilitation And Skilled Nursing Information
| Facility Name | Providence Park Rehabilitation And Skilled Nursing |
| Location | 5505 New Copeland Rd, Tyler, TX 75703 |
| County (SSA Code) | Smith (892) |
| Phone Number | 903-939-2443 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 125 |
| Average Number of Residents | 85.8 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | Legal Business Name Not Available |
| Ownership Type | For profit - Corporation |
| Date First Approved | 2008-07-24 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.32448 |
| Reported LPN Staffing Hours per Resident per Day | 1.24544 |
| Reported RN Staffing - Hours per Resident per Day | 0.35352 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.59896 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.92344 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.0606 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.18413 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.76741 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.42644 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.37797 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.703 |
| Total Weighted Health Survey Score for three cycles | 39.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-09-25 |
| Rating cycle 1 - Health Deficiency Score | 3 |
| Rating cycle 1 - Total Health Inspection Score | 60 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-09-13 |
| Rating cycle 2 - Health Deficiency Score | 60 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-09-27 |
| Rating cycle 3 - Health Deficiency Score | 56 |
| Rating cycle 3 - Total Health Inspection Score | 56 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |