Manorcare Health Services
2129 Skyline Dr, Fort Worth, TX 76114


Manorcare Health Services is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 455457. The address is 2129 Skyline Dr, Fort Worth, TX 76114. The zip code is 76114. The phone number is 8176261956.


Manorcare Health Services · 2129 Skyline Dr, Fort Worth, TX 76114

Federal Provider Number 455457
Provider Name MANORCARE HEALTH SERVICES
Address 2129 SKYLINE DR
FORT WORTH, TX 76114
Phone Number 8176261956
SSA County Code 910
County Name Tarrant
Ownership Type For profit - Corporation
Certified Beds 104
Certified Beds Residents 83
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name MANOR CARE OF FORT WORTH TX (NW) LLC
Date First Approved to Provide Medicare Medicaid Services 02/01/1980
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 5
Quality Measure Rating 4
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 1.57892
Reported LPN Staffing Hours per Resident per Day 0.14096
Reported RN Staffing Hours per Resident per Day 0.22169
Reported Licensed Staffing Hours per Resident per Day 0.36265
Reported Total Nurse Staffing Hours per Resident per Day 1.94157
Reported Physical Therapist Staffing Hours per Resident Per Day 0.11325
Expected CNA Staffing Hours per Resident per Day 2.3809
Expected LPN Staffing Hours per Resident per Day 0.73151
Expected RN Staffing Hours per Resident per Day 1.23663
Expected Total Nurse Staffing Hours per Resident per Day 4.34904
Adjusted CNA Staffing Hours per Resident per Day 1.6272
Adjusted LPN Staffing Hours per Resident per Day 0.15994
Adjusted RN Staffing Hours per Resident per Day 0.13395
Adjusted Total Nurse Staffing Hours per Resident per Day 1.79954
Cycle 1 Total Number of Health Deficiencies 2
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Health Deficiency Score 16
Cycle 1 Standard Survey Health Date 04/13/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 16
Cycle 2 Standard Health Survey Date 03/17/2016
Cycle 3 Total Number of Health Deficiencies 1
Cycle 3 Number of Standard Health Deficiencies 1
Cycle 3 Health Deficiency Score 16
Cycle 3 Standard Health Survey Date 03/06/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 16
Total Weighted Health Survey Score 10.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Manorcare Health Services

Owner Name Role Association Date
ALLEN, MARTIN (Individual) DIRECTOR since 07/02/2012
CARLYLE MC PARTNERS, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
CARLYLE PARTNERS V MC HOLDINGS, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
CARLYLE PARTNERS V MC, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR HEALTHCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR II HEALTHCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR III HEALTHCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR IV HEALTHCARE, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR MANOR CARE SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/21/2007
HCR MANORCARE HEARTLAND LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/07/2011
HCR MANORCARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/2011
HCR MANORCARE OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/07/2011
HCR MANORCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HEALTHCARE OPERATIONS HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
HEALTHCARE OPERATIONS INVESTMENTS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
HOOD, LYNN (Individual) OFFICER since 09/29/2014
HOOPER, WILLIAM (Individual) MANAGING EMPLOYEE since 05/16/2012
HOOPS, KATHRYN (Individual) OFFICER since 12/21/2007
KACZOR, ELIZABETH (Individual) OFFICER since 09/30/2012
KIGHT, DANIEL (Individual) OFFICER since 09/30/2012
KILE, THOMAS (Individual) OFFICER since 01/01/2010
LANNING, DAVID (Individual) OFFICER since 05/01/2015
MANOR CARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
MC OPERATIONS INVESTMENTS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
MCCORMICK, PATRICIA (Individual) OFFICER since 07/02/2012
ORMOND, PAUL (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
9%
since 12/31/2011
ORMOND, PAUL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2007
QUALITY CARE PROPERTIES INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
SHIPMAN, DEAN (Individual) MANAGING EMPLOYEE since 05/01/2016

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