Retama Manor Nursing Center/raymondville - Raymondville Nursing Home
General Information
UPDATEFederal Provider Number
675475
Provider Name
RETAMA MANOR NURSING CENTER/RAYMONDVILLE
Provider Address
1700 S EXPRESSWAY 77
RAYMONDVILLE, TX 78580
RAYMONDVILLE, TX 78580
Provider Phone Number
9566892126
Provider SSA County
962
Provider County Name
Willacy
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC RAYMONDVILLE OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1995-02-07
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
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.65000
Reported LPN Staffing Hours per Resident per Day
0.99407
Reported RN Staffing Hours per Resident per Day
0.57373
Reported Licensed Staffing Hours per Resident per Day
1.56780
Reported Total Nurse Staffing Hours per Resident per Day
3.21780
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08475
Expected CNA Staffing Hours per Resident per Day
2.29860
Expected LPN Staffing Hours per Resident per Day
0.63459
Expected RN Staffing Hours per Resident per Day
1.03692
Expected Total Nurse Staffing Hours per Resident per Day
3.97011
Adjusted CNA Staffing Hours per Resident per Day
1.76133
Adjusted LPN Staffing Hours per Resident per Day
1.30018
Adjusted RN Staffing Hours per Resident per Day
0.41343
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26707
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
152
Cycle 2 Standard Health Survey Date
2013-05-30
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-05-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
83.33300
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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