The Mission At Air Force Village - San Antonio Nursing Home
General Information
UPDATEFederal Provider Number
676041
Provider Name
THE MISSION AT AIR FORCE VILLAGE
Provider Address
4949 RAVENSWOOD DR
SAN ANTONIO, TX 78227
SAN ANTONIO, TX 78227
Provider Phone Number
2106730325
Provider SSA County
130
Provider County Name
Bexar
Ownership Type
Non profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
70
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
AFV HEALTH SERVICES CORP
Date First Approved to Provide Medicare and Medicaid services
2005-01-05
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.99786
Reported LPN Staffing Hours per Resident per Day
1.06143
Reported RN Staffing Hours per Resident per Day
0.68571
Reported Licensed Staffing Hours per Resident per Day
1.74714
Reported Total Nurse Staffing Hours per Resident per Day
6.74500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16357
Expected CNA Staffing Hours per Resident per Day
2.09962
Expected LPN Staffing Hours per Resident per Day
0.61162
Expected RN Staffing Hours per Resident per Day
0.96649
Expected Total Nurse Staffing Hours per Resident per Day
3.67772
Adjusted CNA Staffing Hours per Resident per Day
5.84070
Adjusted LPN Staffing Hours per Resident per Day
1.44042
Adjusted RN Staffing Hours per Resident per Day
0.53013
Adjusted Total Nurse Staffing Hours per Resident per Day
7.39274
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-12-05
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
29.33300
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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