Stonebrook Manor At Broadway - San Antonio Nursing Home
General Information
UPDATEFederal Provider Number
675437
Provider Name
STONEBROOK MANOR AT BROADWAY
Provider Address
1841 FLAMINGO
SAN ANTONIO, TX 78209
SAN ANTONIO, TX 78209
Provider Phone Number
2108245324
Provider SSA County
130
Provider County Name
Bexar
Ownership Type
For profit - Partnership
Number of Certified Beds
86
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STONEBROOK MANOR SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1994-07-28
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
3
Health Inspection Rating Footnote
QM Rating
3
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
1.89865
Reported LPN Staffing Hours per Resident per Day
0.70000
Reported RN Staffing Hours per Resident per Day
0.26284
Reported Licensed Staffing Hours per Resident per Day
0.96284
Reported Total Nurse Staffing Hours per Resident per Day
2.86149
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15473
Expected CNA Staffing Hours per Resident per Day
2.39454
Expected LPN Staffing Hours per Resident per Day
0.67311
Expected RN Staffing Hours per Resident per Day
1.21121
Expected Total Nurse Staffing Hours per Resident per Day
4.27887
Adjusted CNA Staffing Hours per Resident per Day
1.94556
Adjusted LPN Staffing Hours per Resident per Day
0.86315
Adjusted RN Staffing Hours per Resident per Day
0.16215
Adjusted Total Nurse Staffing Hours per Resident per Day
2.69566
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-10-25
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
12
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
61.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
4
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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