Rock Haven Nursing Home
401 S E Stallings Dr, Nacogdoches, TX 75964


Rock Haven Nursing Home is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 676340. The address is 401 S E Stallings Dr, Nacogdoches, TX 75964. The zip code is 75964. The phone number is 9365699411.


Rock Haven Nursing Home · 401 S E Stallings Dr, Nacogdoches, TX 75964

Federal Provider Number 676340
Provider Name ROCK HAVEN NURSING HOME
Address 401 S E STALLINGS DR
NACOGDOCHES, TX 75964
Phone Number 9365699411
SSA County Code 810
County Name Nacogdoches
Ownership Type For profit - Partnership
Certified Beds 60
Certified Beds Residents 45
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name JEFF D. MILLER, LLC
Date First Approved to Provide Medicare Medicaid Services 08/09/2013
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 1
Staffing Rating 1
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 1.93667
Reported LPN Staffing Hours per Resident per Day 0.76667
Reported RN Staffing Hours per Resident per Day 0.44444
Reported Licensed Staffing Hours per Resident per Day 1.21111
Reported Total Nurse Staffing Hours per Resident per Day 3.14778
Reported Physical Therapist Staffing Hours per Resident Per Day 0.00444
Expected CNA Staffing Hours per Resident per Day 2.32956
Expected LPN Staffing Hours per Resident per Day 0.67221
Expected RN Staffing Hours per Resident per Day 0.95841
Expected Total Nurse Staffing Hours per Resident per Day 3.96017
Adjusted CNA Staffing Hours per Resident per Day 2.03988
Adjusted LPN Staffing Hours per Resident per Day 0.94664
Adjusted RN Staffing Hours per Resident per Day 0.3465
Adjusted Total Nurse Staffing Hours per Resident per Day 3.204
Cycle 1 Total Number of Health Deficiencies 13
Cycle 1 Number of Standard Health Deficiencies 12
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 245
Cycle 1 Standard Survey Health Date 09/29/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 245
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Health Deficiency Score 64
Cycle 2 Standard Health Survey Date 09/17/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 64
Cycle 3 Total Number of Health Deficiencies 19
Cycle 3 Number of Standard Health Deficiencies 18
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 220
Cycle 3 Standard Health Survey Date 07/17/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 220
Total Weighted Health Survey Score 180.5
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Rock Haven Nursing Home

Owner Name Role Association Date
MILLER, JEFFERY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 06/01/2013
MILLER, JEFFERY (Individual) MANAGING EMPLOYEE since 06/01/2013
MILLER, JEFFERY (Individual) OFFICER since 06/01/2013

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