Contact Information

PROVIDENCE PARK REHABILITATION AND SKILLED NURSING
BROADMORE SNF OPERATIONS, LLC
5505 NEW COPELAND RD
TYLER, TX 75703
(903) 939-2443
For profit - Corporation
Medicare certification date2: July 24, 2008
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  103 residents

  100 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 3
Facility reported incidents 1
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 103 residents Texas Average National Average
Hours by Registered Nurse (RN) per resident per day 20 minutes 22 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 1 hour, 11 minutes 1 hour, 2 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 16 minutes 2 hours, 1 minute 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 12 minutes 5 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • SOUTHWEST SNF HOLDINGS, LLC
  • GUNTER, TRACY
  • TAYLOR, JOHN

5% OR GREATER INDIRECT OWNERSHIP INTEREST

  • LAKE CREEK CAPITAL PARTNERS LP
  • WR INVESTMENTS, LP
  • CAMPBELL, SCOTT
  • FISHER, JAMES
  • TAYLOR, JOHN

MANAGING EMPLOYEE

  • MOORE, HEATHER

OPERATIONAL/MANAGERIAL CONTROL

  • STONEGATE SENIOR LIVING, LLC
  • WR INVESTMENTS GP MANAGER INC.

Nursing Home Report

In 2016, PROVIDENCE PARK REHABILITATION AND SKILLED NURSING charged a total of $5,881,617 for 318 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 80.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 29% Alzheimer's 53%
Asthma 35% Cancer 16%
Congestive Heart Failure 50% Kidney Disease 55%
COPD 33% Depression 48%
Diabetes 36% Hyperlipidemia 74%
Hypertension n/a Ischemic Heart Disease 55%
Osteoporosis 27% RA / OA 67%
Schizophrenia 5% Stroke 17%
Demographics
Medicare Beneficiaries 318 Average Age 80
Male 108 Female 210
White 273
Black 38
Asian 0
Hispanic n/a
American Indian n/a
Other 0

Health & Fire Inspection

Most recent health inspection: Sep 13, 2018; fire safety inspection: Sep 13, 2018

Health Deficiencies as of 09/13/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care None
Resident Assessment and Care Planning 3
Nursing and Physician Services None
Resident Rights 1
Nutrition and Dietary Deficiencies 3
Pharmacy Service None
Environmental Deficiencies 1
Administration Deficiencies None
Fire Deficiencies as of 09/13/2018
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies None
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also