Buena Vida Nursing And Rehab-san Antonio - San Antonio Nursing Home
General Information
UPDATEFederal Provider Number
455390
Provider Name
BUENA VIDA NURSING AND REHAB-SAN ANTONIO
Provider Address
5027 PECAN GROVE
SAN ANTONIO, TX 78222
SAN ANTONIO, TX 78222
Provider Phone Number
(210) 333-6815
Provider SSA County
130
Provider County Name
Bexar
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
222
Number of Residents in Certified Beds
104
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
1984-12-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
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
2.00529
Reported LPN Staffing Hours per Resident per Day
1.29135
Reported RN Staffing Hours per Resident per Day
0.37115
Reported Licensed Staffing Hours per Resident per Day
1.66250
Reported Total Nurse Staffing Hours per Resident per Day
3.66779
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12356
Expected CNA Staffing Hours per Resident per Day
2.65044
Expected LPN Staffing Hours per Resident per Day
0.72539
Expected RN Staffing Hours per Resident per Day
1.15331
Expected Total Nurse Staffing Hours per Resident per Day
4.52914
Adjusted CNA Staffing Hours per Resident per Day
1.85644
Adjusted LPN Staffing Hours per Resident per Day
1.47757
Adjusted RN Staffing Hours per Resident per Day
0.24046
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26430
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
124
Cycle 1 Standard Survey Health Date
2014-04-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
124
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
164
Cycle 2 Standard Health Survey Date
2013-05-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
164
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
122.00000
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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