Silver Creek Manor - San Antonio Nursing Home
General Information
UPDATEFederal Provider Number
455652
Provider Name
SILVER CREEK MANOR
Provider Address
9014 TIMBER PATH
SAN ANTONIO, TX 78250
SAN ANTONIO, TX 78250
Provider Phone Number
2105232455
Provider SSA County
130
Provider County Name
Bexar
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC SAN ANTONIO SILVER CREEK OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1986-05-07
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
1.71384
Reported LPN Staffing Hours per Resident per Day
0.92946
Reported RN Staffing Hours per Resident per Day
0.36071
Reported Licensed Staffing Hours per Resident per Day
1.29018
Reported Total Nurse Staffing Hours per Resident per Day
3.00401
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06429
Expected CNA Staffing Hours per Resident per Day
2.57125
Expected LPN Staffing Hours per Resident per Day
0.70730
Expected RN Staffing Hours per Resident per Day
1.15329
Expected Total Nurse Staffing Hours per Resident per Day
4.43184
Adjusted CNA Staffing Hours per Resident per Day
1.63549
Adjusted LPN Staffing Hours per Resident per Day
1.09070
Adjusted RN Staffing Hours per Resident per Day
0.23370
Adjusted Total Nurse Staffing Hours per Resident per Day
2.73224
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-02-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-01-16
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-11-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
40.66700
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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