Silver Pines Nursing and Rehabilitation Lp
503 Old Austin Highway, Bastrop, TX 78602


Silver Pines Nursing and Rehabilitation Lp is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 675434. The address is 503 Old Austin Highway, Bastrop, TX 78602. The zip code is 78602. The phone number is 5123216220.


Silver Pines Nursing and Rehabilitation Lp · 503 Old Austin Highway, Bastrop, TX 78602

Federal Provider Number 675434
Provider Name SILVER PINES NURSING AND REHABILITATION LP
Address 503 OLD AUSTIN HIGHWAY
BASTROP, TX 78602
Phone Number 5123216220
SSA County Code 100
County Name Bastrop
Ownership Type For profit - Corporation
Certified Beds 120
Certified Beds Residents 55
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name SILVER PINES NURSING AND REHABILITATION LP
Date First Approved to Provide Medicare Medicaid Services 11/21/1994
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 1
Health Inspection Rating 1
Quality Measure Rating 2
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.12
Reported LPN Staffing Hours per Resident per Day 0.96364
Reported RN Staffing Hours per Resident per Day 0.60091
Reported Licensed Staffing Hours per Resident per Day 1.56455
Reported Total Nurse Staffing Hours per Resident per Day 3.68455
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06091
Expected CNA Staffing Hours per Resident per Day 2.23674
Expected LPN Staffing Hours per Resident per Day 0.60905
Expected RN Staffing Hours per Resident per Day 1.17444
Expected Total Nurse Staffing Hours per Resident per Day 4.02023
Adjusted CNA Staffing Hours per Resident per Day 2.32564
Adjusted LPN Staffing Hours per Resident per Day 1.31324
Adjusted RN Staffing Hours per Resident per Day 0.38231
Adjusted Total Nurse Staffing Hours per Resident per Day 3.69433
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Health Deficiency Score 107
Cycle 1 Standard Survey Health Date 05/12/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 107
Cycle 2 Total Number of Health Deficiencies 8
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Number of Complaint Health Deficiencies 4
Cycle 2 Health Deficiency Score 88
Cycle 2 Standard Health Survey Date 03/11/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 88
Cycle 3 Total Number of Health Deficiencies 43
Cycle 3 Number of Standard Health Deficiencies 21
Cycle 3 Number of Complaint Health Deficiencies 24
Cycle 3 Health Deficiency Score 1248
Cycle 3 Standard Health Survey Date 02/25/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 1248
Total Weighted Health Survey Score 290.833
Number of Facility Reported Incidents 5
Number of Substantiated Complaints 10
Number of Fines 2
Total Amount of Fines in Dollars $83623.00
Number of Payment Denials 1
Total Number of Penalties 3
Processing Date 08/01/2017

Owner or Manager · Silver Pines Nursing and Rehabilitation Lp

Owner Name Role Association Date
CUNNINGHAM, SHERRI (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
21%
since 02/01/2003
DAYBREAK HEALTHCARE, INC. (Organization) PARTNERSHIP INTEREST since 02/01/2003
DAYBREAK PARTNERS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2003
DAYBREAK VENTURE, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
95%
since 02/01/2003
DAYBREAK VENTURE, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 02/01/2003
DAYBREAK VENTURE, LLC (Organization) PARTNERSHIP INTEREST since 02/01/2003
DBP MANAGEMENT, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 03/20/2017
ESTATE OF PETER C. KERN (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
since 04/28/2017
FLAGG, DAN (Individual) OFFICER since 03/20/2017
FLAGG, DAN (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/20/2017
KNIGHT, DONNA (Individual) MANAGING EMPLOYEE since 04/21/2017
MAREZ, DONNA (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
21%
since 02/01/2003

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