Cibolo Creek - Boerne Nursing Home
General Information
UPDATEFederal Provider Number
676240
Provider Name
CIBOLO CREEK
Provider Address
1440 RIVER RD
BOERNE, TX 78006
BOERNE, TX 78006
Provider Phone Number
(830) 816-5095
Provider SSA County
731
Provider County Name
Kendall
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CASCADE-KENDALL HEALTH SERVICES, LTD
Date First Approved to Provide Medicare and Medicaid services
2009-12-02
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.83221
Reported LPN Staffing Hours per Resident per Day
0.82692
Reported RN Staffing Hours per Resident per Day
0.52644
Reported Licensed Staffing Hours per Resident per Day
1.35337
Reported Total Nurse Staffing Hours per Resident per Day
3.18557
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13365
Expected CNA Staffing Hours per Resident per Day
2.18626
Expected LPN Staffing Hours per Resident per Day
0.57012
Expected RN Staffing Hours per Resident per Day
0.90750
Expected Total Nurse Staffing Hours per Resident per Day
3.66387
Adjusted CNA Staffing Hours per Resident per Day
2.05634
Adjusted LPN Staffing Hours per Resident per Day
1.20387
Adjusted RN Staffing Hours per Resident per Day
0.43345
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50469
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-12-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
49.33300
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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