Renaissance Villa
700 Dyer St, Rockdale, TX 76567


Renaissance Villa is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 676093. The address is 700 Dyer St, Rockdale, TX 76567. The zip code is 76567. The phone number is 5124462548.


Renaissance Villa · 700 Dyer St, Rockdale, TX 76567

Federal Provider Number 676093
Provider Name RENAISSANCE VILLA
Address 700 DYER ST
ROCKDALE, TX 76567
Phone Number 5124462548
SSA County Code 795
County Name Milam
Ownership Type For profit - Individual
Certified Beds 45
Certified Beds Residents 40
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name ROCKDALE SNF LLC
Date First Approved to Provide Medicare Medicaid Services 04/01/2006
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 3
Health Inspection Rating 3
Quality Measure Rating 2
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.3825
Reported LPN Staffing Hours per Resident per Day 0.72125
Reported RN Staffing Hours per Resident per Day 0.58875
Reported Licensed Staffing Hours per Resident per Day 1.31
Reported Total Nurse Staffing Hours per Resident per Day 3.6925
Reported Physical Therapist Staffing Hours per Resident Per Day 0.02375
Expected CNA Staffing Hours per Resident per Day 2.55866
Expected LPN Staffing Hours per Resident per Day 0.63281
Expected RN Staffing Hours per Resident per Day 1.01853
Expected Total Nurse Staffing Hours per Resident per Day 4.21
Adjusted CNA Staffing Hours per Resident per Day 2.28476
Adjusted LPN Staffing Hours per Resident per Day 0.94601
Adjusted RN Staffing Hours per Resident per Day 0.43191
Adjusted Total Nurse Staffing Hours per Resident per Day 3.53542
Cycle 1 Total Number of Health Deficiencies 6
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 56
Cycle 1 Standard Survey Health Date 06/22/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 56
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 04/21/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 16
Cycle 3 Total Number of Health Deficiencies 8
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 91
Cycle 3 Standard Health Survey Date 04/10/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 91
Total Weighted Health Survey Score 48.5
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 4
Number of Fines 1
Total Amount of Fines in Dollars $128129.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Renaissance Villa

Owner Name Role Association Date
BUMPASS, MICHAEL (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 02/01/2016
BUMPASS, MICHAEL (Individual) OFFICER since 02/01/2016
BUMPASS, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 02/01/2016
KUNKA, LAURA (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 02/01/2016
KUNKA, LAURA (Individual) OFFICER since 02/01/2016
KUNKA, LAURA (Individual) OPERATIONAL/MANAGERIAL CONTROL since 02/01/2016

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