Windsor Mission Oaks - San Antonio Nursing Home
General Information
UPDATEFederal Provider Number
675409
Provider Name
WINDSOR MISSION OAKS
Provider Address
3030 S ROOSEVELT AVE
SAN ANTONIO, TX 78214
SAN ANTONIO, TX 78214
Provider Phone Number
2109248151
Provider SSA County
130
Provider County Name
Bexar
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
128
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
1994-10-20
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
3
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
2.18945
Reported LPN Staffing Hours per Resident per Day
0.89102
Reported RN Staffing Hours per Resident per Day
0.39180
Reported Licensed Staffing Hours per Resident per Day
1.28281
Reported Total Nurse Staffing Hours per Resident per Day
3.47227
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08086
Expected CNA Staffing Hours per Resident per Day
2.19966
Expected LPN Staffing Hours per Resident per Day
0.62711
Expected RN Staffing Hours per Resident per Day
1.07865
Expected Total Nurse Staffing Hours per Resident per Day
3.90542
Adjusted CNA Staffing Hours per Resident per Day
2.44231
Adjusted LPN Staffing Hours per Resident per Day
1.17929
Adjusted RN Staffing Hours per Resident per Day
0.27141
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58383
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-09-27
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-09-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
54.66700
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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