Mesa Vista Inn Health Center - San Antonio Nursing Home
General Information
UPDATEFederal Provider Number
455444
Provider Name
MESA VISTA INN HEALTH CENTER
Provider Address
5756 N KNOLL DR
SAN ANTONIO, TX 78240
SAN ANTONIO, TX 78240
Provider Phone Number
2103215200
Provider SSA County
130
Provider County Name
Bexar
Ownership Type
For profit - Corporation
Number of Certified Beds
144
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PM MANAGEMENT-BABCOCK NC LLC
Date First Approved to Provide Medicare and Medicaid services
1977-07-07
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.97336
Reported LPN Staffing Hours per Resident per Day
1.13131
Reported RN Staffing Hours per Resident per Day
0.61168
Reported Licensed Staffing Hours per Resident per Day
1.74299
Reported Total Nurse Staffing Hours per Resident per Day
3.71635
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05607
Expected CNA Staffing Hours per Resident per Day
2.44310
Expected LPN Staffing Hours per Resident per Day
0.68114
Expected RN Staffing Hours per Resident per Day
1.27113
Expected Total Nurse Staffing Hours per Resident per Day
4.39538
Adjusted CNA Staffing Hours per Resident per Day
1.98192
Adjusted LPN Staffing Hours per Resident per Day
1.37854
Adjusted RN Staffing Hours per Resident per Day
0.35956
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40818
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
87.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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