The Harrison At Heritage
4600 Heritage Trace Parkway, Fort Worth, TX 76244


The Harrison At Heritage is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 676317. The address is 4600 Heritage Trace Parkway, Fort Worth, TX 76244. The zip code is 76244. The phone number is 8177419360.


The Harrison At Heritage · 4600 Heritage Trace Parkway, Fort Worth, TX 76244

Federal Provider Number 676317
Provider Name THE HARRISON AT HERITAGE
Address 4600 HERITAGE TRACE PARKWAY
FORT WORTH, TX 76244
Phone Number 8177419360
SSA County Code 910
County Name Tarrant
Ownership Type For profit - Corporation
Certified Beds 120
Certified Beds Residents 80
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name DECATUR HOSPITAL AUTHORITY
Date First Approved to Provide Medicare Medicaid Services 03/23/1994
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 2
Health Inspection Rating 2
Quality Measure Rating 3
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.33063
Reported LPN Staffing Hours per Resident per Day 1.52688
Reported RN Staffing Hours per Resident per Day 0.8375
Reported Licensed Staffing Hours per Resident per Day 2.36438
Reported Total Nurse Staffing Hours per Resident per Day 4.69501
Reported Physical Therapist Staffing Hours per Resident Per Day 0.14563
Expected CNA Staffing Hours per Resident per Day 2.51854
Expected LPN Staffing Hours per Resident per Day 0.72257
Expected RN Staffing Hours per Resident per Day 1.38685
Expected Total Nurse Staffing Hours per Resident per Day 4.62796
Adjusted CNA Staffing Hours per Resident per Day 2.27063
Adjusted LPN Staffing Hours per Resident per Day 1.75389
Adjusted RN Staffing Hours per Resident per Day 0.45122
Adjusted Total Nurse Staffing Hours per Resident per Day 4.0893
Cycle 1 Standard Survey Health Date 04/26/2017
Cycle 2 Total Number of Health Deficiencies 11
Cycle 2 Number of Standard Health Deficiencies 10
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 325
Cycle 2 Standard Health Survey Date 05/15/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 325
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Health Deficiency Score 16
Cycle 3 Standard Health Survey Date 06/25/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 16
Total Weighted Health Survey Score 111
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · The Harrison At Heritage

Owner Name Role Association Date
DECATUR HOSPITAL AUTHORITY (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 02/01/2015
ERIKSEN, DAVID (Individual) MANAGING EMPLOYEE since 02/01/2015
ERIKSEN, DAVID (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/16/2004
FW SENIOR COMMUNITY LTD CO (Organization) OPERATIONAL/MANAGERIAL CONTROL since 02/01/2015
SCROGGINS, BRIAN (Individual) OFFICER since 02/13/2006
SIMMS, TRACY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/28/1999
SMITH, LISA (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/09/2007
SUMMERS, STEPHEN (Individual) DIRECTOR since 03/18/1991
UNDERHILL, ROBIN (Individual) MANAGING EMPLOYEE since 02/01/2015
UNDERHILL, ROBIN (Individual) OPERATIONAL/MANAGERIAL CONTROL since 07/16/2001

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