Northgate Plaza Nursing & Rehabilitation Center
2101 Northgate Dr, Irving, TX 75062


Northgate Plaza Nursing & Rehabilitation Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 675967. The address is 2101 Northgate Dr, Irving, TX 75062. The zip code is 75062. The phone number is 9722554460.


Northgate Plaza Nursing & Rehabilitation Center · 2101 Northgate Dr, Irving, TX 75062

Federal Provider Number 675967
Provider Name NORTHGATE PLAZA NURSING & REHABILITATION CENTER
Address 2101 NORTHGATE DR
IRVING, TX 75062
Phone Number 9722554460
SSA County Code 390
County Name Dallas
Ownership Type For profit - Corporation
Certified Beds 120
Certified Beds Residents 82
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name MERIDIAN IRVING SNF, LP
Date First Approved to Provide Medicare Medicaid Services 05/21/2003
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 4
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.39939
Reported LPN Staffing Hours per Resident per Day 0.85915
Reported RN Staffing Hours per Resident per Day 0.7311
Reported Licensed Staffing Hours per Resident per Day 1.59024
Reported Total Nurse Staffing Hours per Resident per Day 3.98964
Reported Physical Therapist Staffing Hours per Resident Per Day 0.07378
Expected CNA Staffing Hours per Resident per Day 2.47164
Expected LPN Staffing Hours per Resident per Day 0.81447
Expected RN Staffing Hours per Resident per Day 1.41884
Expected Total Nurse Staffing Hours per Resident per Day 4.70494
Adjusted CNA Staffing Hours per Resident per Day 2.38197
Adjusted LPN Staffing Hours per Resident per Day 0.87554
Adjusted RN Staffing Hours per Resident per Day 0.38502
Adjusted Total Nurse Staffing Hours per Resident per Day 3.41807
Cycle 1 Total Number of Health Deficiencies 8
Cycle 1 Number of Standard Health Deficiencies 8
Cycle 1 Number of Complaint Health Deficiencies 8
Cycle 1 Health Deficiency Score 566
Cycle 1 Standard Survey Health Date 05/26/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 566
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Health Deficiency Score 16
Cycle 2 Standard Health Survey Date 05/19/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 16
Cycle 3 Total Number of Health Deficiencies 5
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 52
Cycle 3 Standard Health Survey Date 05/14/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 52
Total Weighted Health Survey Score 297
Number of Facility Reported Incidents 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Northgate Plaza Nursing & Rehabilitation Center

Owner Name Role Association Date
BOISFONTAINE, CURTIS (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/01/2013
CULP, ROLAND (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/01/2013
DASPIT, LAURENCE (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/01/2013
HMG HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/01/2013
HMG MSPF I INVESTMENT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/01/2013
HMG SERVICES, L.L.C. (Organization) OPERATIONAL/MANAGERIAL CONTROL since 09/01/2013
JOHANAN, ERIC (Individual) MANAGING EMPLOYEE since 05/08/2015
MERIDIAN HMG LONG TERM CARE LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
since 09/01/2013
MERIDIAN OPCO I INVESTORS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/01/2013
MIS GENPAR, LLC (Organization) PARTNERSHIP INTEREST since 03/16/2001
PRINCE, DEREK (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/01/2013
RONCK, DAVID (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/01/2013

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