Mccullough Hall Nursing Center Inc - San Antonio Nursing Home
General Information
UPDATEFederal Provider Number
675176
Provider Name
MCCULLOUGH HALL NURSING CENTER INC
Provider Address
603 S W 24TH ST
SAN ANTONIO, TX 78207
SAN ANTONIO, TX 78207
Provider Phone Number
(210) 435-7711
Provider SSA County
130
Provider County Name
Bexar
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MCCULLOUGH HALL NURSING CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1993-10-20
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
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
2.95714
Reported LPN Staffing Hours per Resident per Day
0.84898
Reported RN Staffing Hours per Resident per Day
0.58469
Reported Licensed Staffing Hours per Resident per Day
1.43367
Reported Total Nurse Staffing Hours per Resident per Day
4.39081
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03776
Expected CNA Staffing Hours per Resident per Day
2.21280
Expected LPN Staffing Hours per Resident per Day
0.50225
Expected RN Staffing Hours per Resident per Day
0.70336
Expected Total Nurse Staffing Hours per Resident per Day
3.41841
Adjusted CNA Staffing Hours per Resident per Day
3.27907
Adjusted LPN Staffing Hours per Resident per Day
1.40298
Adjusted RN Staffing Hours per Resident per Day
0.62114
Adjusted Total Nurse Staffing Hours per Resident per Day
5.17753
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
40
Cycle 2 Standard Health Survey Date
2014-03-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
20.66700
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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