Meridian Care Monte Vista - San Antonio Nursing Home
General Information
UPDATEFederal Provider Number
455450
Provider Name
MERIDIAN CARE MONTE VISTA
Provider Address
616 W RUSSELL PL
SAN ANTONIO, TX 78212
SAN ANTONIO, TX 78212
Provider Phone Number
(210) 735-9233
Provider SSA County
130
Provider County Name
Bexar
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
52
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RJ MERIDIAN CARE ALTA VISTA LLC
Date First Approved to Provide Medicare and Medicaid services
1978-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.43269
Reported LPN Staffing Hours per Resident per Day
1.23750
Reported RN Staffing Hours per Resident per Day
0.36442
Reported Licensed Staffing Hours per Resident per Day
1.60192
Reported Total Nurse Staffing Hours per Resident per Day
3.03461
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00673
Expected CNA Staffing Hours per Resident per Day
2.22542
Expected LPN Staffing Hours per Resident per Day
0.59499
Expected RN Staffing Hours per Resident per Day
0.90200
Expected Total Nurse Staffing Hours per Resident per Day
3.72240
Adjusted CNA Staffing Hours per Resident per Day
1.57966
Adjusted LPN Staffing Hours per Resident per Day
1.72629
Adjusted RN Staffing Hours per Resident per Day
0.30188
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28610
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
132
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
132
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-09-05
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
85.33300
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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