Mystic Park Rehabilitation And Healthcare Center - San Antonio Nursing Home
General Information
UPDATEFederal Provider Number
676012
Provider Name
MYSTIC PARK REHABILITATION AND HEALTHCARE CENTER
Provider Address
8503 MYSTIC PARK
SAN ANTONIO, TX 78254
SAN ANTONIO, TX 78254
Provider Phone Number
2102560906
Provider SSA County
130
Provider County Name
Bexar
Ownership Type
For profit - Corporation
Number of Certified Beds
125
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2004-04-06
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.36383
Reported LPN Staffing Hours per Resident per Day
1.03404
Reported RN Staffing Hours per Resident per Day
0.30266
Reported Licensed Staffing Hours per Resident per Day
1.33670
Reported Total Nurse Staffing Hours per Resident per Day
3.70053
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05266
Expected CNA Staffing Hours per Resident per Day
2.68020
Expected LPN Staffing Hours per Resident per Day
0.77688
Expected RN Staffing Hours per Resident per Day
1.27273
Expected Total Nurse Staffing Hours per Resident per Day
4.72981
Adjusted CNA Staffing Hours per Resident per Day
2.16407
Adjusted LPN Staffing Hours per Resident per Day
1.10474
Adjusted RN Staffing Hours per Resident per Day
0.17769
Adjusted Total Nurse Staffing Hours per Resident per Day
3.15372
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
112
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-09-06
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
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
128
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
128
Total Weighted Health Survey Score
96.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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