Elsie Gayer Health Care Center - San Angelo Nursing Home
General Information
UPDATEFederal Provider Number
455061
Provider Name
ELSIE GAYER HEALTH CARE CENTER
Provider Address
902 N MAIN ST
SAN ANGELO, TX 76903
SAN ANGELO, TX 76903
Provider Phone Number
(325) 655-7391
Provider SSA County
930
Provider County Name
Tom Green
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
108
Number of Residents in Certified Beds
80
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
1967-01-01
Continuing Care Retirement Community
Y
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
Partial
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
2.88125
Reported LPN Staffing Hours per Resident per Day
1.43938
Reported RN Staffing Hours per Resident per Day
0.87125
Reported Licensed Staffing Hours per Resident per Day
2.31063
Reported Total Nurse Staffing Hours per Resident per Day
5.19188
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14375
Expected CNA Staffing Hours per Resident per Day
2.20737
Expected LPN Staffing Hours per Resident per Day
0.54804
Expected RN Staffing Hours per Resident per Day
0.92124
Expected Total Nurse Staffing Hours per Resident per Day
3.67665
Adjusted CNA Staffing Hours per Resident per Day
3.20278
Adjusted LPN Staffing Hours per Resident per Day
2.17994
Adjusted RN Staffing Hours per Resident per Day
0.70665
Adjusted Total Nurse Staffing Hours per Resident per Day
5.69212
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
32
Cycle 1 Standard Survey Health Date
2014-07-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-06-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
25.33300
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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