Memorial Medical Nursing Center - San Antonio Nursing Home
General Information
UPDATEFederal Provider Number
455597
Provider Name
MEMORIAL MEDICAL NURSING CENTER
Provider Address
307 W CYPRESS ST
SAN ANTONIO, TX 78212
SAN ANTONIO, TX 78212
Provider Phone Number
(210) 223-5521
Provider SSA County
130
Provider County Name
Bexar
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
135
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC SAN ANTONIO MEMORIAL OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1985-09-20
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
2
Overall Rating Footnote
Health Inspection Rating
2
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
1.83125
Reported LPN Staffing Hours per Resident per Day
1.23698
Reported RN Staffing Hours per Resident per Day
0.36458
Reported Licensed Staffing Hours per Resident per Day
1.60156
Reported Total Nurse Staffing Hours per Resident per Day
3.43281
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.41165
Expected LPN Staffing Hours per Resident per Day
0.67435
Expected RN Staffing Hours per Resident per Day
1.14666
Expected Total Nurse Staffing Hours per Resident per Day
4.23266
Adjusted CNA Staffing Hours per Resident per Day
1.86318
Adjusted LPN Staffing Hours per Resident per Day
1.52250
Adjusted RN Staffing Hours per Resident per Day
0.23757
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26918
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-05-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-04-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
23
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
180
Cycle 3 Standard Health Survey Date
2012-05-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
180
Total Weighted Health Survey Score
105.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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