Provider Name: AZLE MANOR HEALTH CARE AND REHABILITATION
Address: 721 DUNAWAY LN, AZLE, TX 76020
Phone: (817) 444-2536
County: Tarrant (910)
Ownership Type: For profit - Corporation
Certified Beds: 142
Average Residents Per Day: 98.5 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: AZLE MANOR HEALTH CARE L.L.L.P.
First Approved Date: February 18, 2004
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 2 ()
Health Inspection Rating: 3 ()
QM Rating: 2 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: 2 ()
Staffing Rating: 1 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.65082, LPN Staff Hours Per Day: 0.9230, RN Staff Hours Per Day: 0.2446, Licensed Staff Hours Per Day: 1.1676
Total Nurse Staff Hours Per Day, per resident: 2.81849
Weekend Nurse Staff Hours: 2.53482, Weekend RN Staff Hours: 0.3773
PT Staff Hours Per Day, per resident: 0.0527
Nurse Staff Turnover: 48.9, Nurse Turnover Note:
RN Turnover: 44.4, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0941, Case Mix LPN Hours Per Day: 0.7640, Case Mix RN Hours Per Day: 0.4164
Adjusted Nurse Aide Hours Per Day, per resident: 1.60600, Adjusted LPN Hours Per Day: 0.8915, Adjusted RN Hours Per Day: 0.2214
Total Adjusted Nurse Hours Per Day, per resident: 2.71305
Adjusted Weekend Nurse Hours Per Day, per resident: 2.43999
Health Survey Dates and Scores: Cycle 1: 2023-10-05 (Score: 24), Cycle 2: 2022-09-08 (Score: 100), Cycle 3: 2021-07-22 (Score: 12)
Total Weighted Health Score: 47.333
Reported Incidents: 2, Substantiated Complaints: 0
Infection Control Citations: 3
Fines and Penalties: Number of Fines: 16, Total Fines in Dollars: 64179.57, Payment Denials Number: 0, Total Penalties Number: 16
Location and GPS: 721 DUNAWAY LN,AZLE,TX,76020 (32.8980, -97.534)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-06-08
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-06
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: K - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-05
Type: Health, Deficiency: Perform COVID19 testing on residents and staff.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-02-08
Type: Health, Deficiency: Provide timely, quality laboratory services/tests to meet the needs of residents.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-07-27
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0363, Version: New
Description: Install corridor and hallway doors that block smoke.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-06
Type: Fire Safety, Tag: 0222, Version: New
Description: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-08-14
Type: Fire Safety, Tag: 0344, Version: New
Description: Have an alternate power supply for its alarm system.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-08-14
Type: Fire Safety, Tag: 0374, Version: New
Description: Install smoke barrier doors that can resist smoke for at least 20 minutes.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-08-14
Type: Fire Safety, Tag: 0918, Version: New
Description: Have generator or other power source capable of supplying service within 10 seconds.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-08-14