Van Healthcare
169 S Oak St, Van, TX 75790


Van Healthcare is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 455856. The address is 169 S Oak St, Van, TX 75790. The zip code is 75790. The phone number is 9039638641.


Van Healthcare · 169 S Oak St, Van, TX 75790

Federal Provider Number 455856
Provider Name VAN HEALTHCARE
Address 169 S OAK ST
VAN, TX 75790
Phone Number 9039638641
SSA County Code 947
County Name Van Zandt
Ownership Type For profit - Partnership
Certified Beds 60
Certified Beds Residents 33
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name VAN SENIOR CARE LLC
Date First Approved to Provide Medicare Medicaid Services 12/07/1989
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months true
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 3
Quality Measure Rating 1
Staffing Rating 1
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 1.22121
Reported LPN Staffing Hours per Resident per Day 0.13788
Reported RN Staffing Hours per Resident per Day 0.41515
Reported Licensed Staffing Hours per Resident per Day 0.55303
Reported Total Nurse Staffing Hours per Resident per Day 1.77424
Reported Physical Therapist Staffing Hours per Resident Per Day 0.00909
Expected CNA Staffing Hours per Resident per Day 2.39293
Expected LPN Staffing Hours per Resident per Day 0.63305
Expected RN Staffing Hours per Resident per Day 0.94278
Expected Total Nurse Staffing Hours per Resident per Day 3.96876
Adjusted CNA Staffing Hours per Resident per Day 1.25222
Adjusted LPN Staffing Hours per Resident per Day 0.18078
Adjusted RN Staffing Hours per Resident per Day 0.32903
Adjusted Total Nurse Staffing Hours per Resident per Day 1.80202
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Health Deficiency Score 64
Cycle 1 Standard Survey Health Date 12/07/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 64
Cycle 2 Total Number of Health Deficiencies 6
Cycle 2 Number of Standard Health Deficiencies 6
Cycle 2 Health Deficiency Score 84
Cycle 2 Standard Health Survey Date 12/10/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 84
Cycle 3 Total Number of Health Deficiencies 8
Cycle 3 Number of Standard Health Deficiencies 8
Cycle 3 Number of Complaint Health Deficiencies 5
Cycle 3 Health Deficiency Score 64
Cycle 3 Standard Health Survey Date 12/10/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 64
Total Weighted Health Survey Score 70.667
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Number of Payment Denials 1
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Van Healthcare

Owner Name Role Association Date
NEAL, JOSEPH (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2017
NEAL, JOSEPH (Individual) OFFICER since 01/01/2017
NEAL, JOSEPH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2017
NEAL, JOSEPH (Individual) PARTNERSHIP INTEREST since 01/01/2017
VAN SENIOR CARE LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2017
VAN SENIOR CARE LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2017
WILLS, ALAN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2017
WILLS, ALAN (Individual) OFFICER since 01/01/2017
WILLS, ALAN (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2017
WILLS, ALAN (Individual) PARTNERSHIP INTEREST since 01/01/2017

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