Monte Siesta Nursing And Rehabilitation Lp - Austin Nursing Home
General Information
UPDATEFederal Provider Number
675596
Provider Name
MONTE SIESTA NURSING AND REHABILITATION LP
Provider Address
4501 DUDMAR DR
AUSTIN, TX 78735
AUSTIN, TX 78735
Provider Phone Number
5128921131
Provider SSA County
940
Provider County Name
Travis
Ownership Type
For profit - Corporation
Number of Certified Beds
126
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MONTE SIESTA NURSING AND REHABILITATION LP
Date First Approved to Provide Medicare and Medicaid services
1996-05-08
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
1.99352
Reported LPN Staffing Hours per Resident per Day
0.71574
Reported RN Staffing Hours per Resident per Day
0.38750
Reported Licensed Staffing Hours per Resident per Day
1.10324
Reported Total Nurse Staffing Hours per Resident per Day
3.09676
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02917
Expected CNA Staffing Hours per Resident per Day
2.56245
Expected LPN Staffing Hours per Resident per Day
0.68796
Expected RN Staffing Hours per Resident per Day
1.10241
Expected Total Nurse Staffing Hours per Resident per Day
4.35282
Adjusted CNA Staffing Hours per Resident per Day
1.90891
Adjusted LPN Staffing Hours per Resident per Day
0.86352
Adjusted RN Staffing Hours per Resident per Day
0.26264
Adjusted Total Nurse Staffing Hours per Resident per Day
2.86773
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
224
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
224
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2013-03-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-02-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
156.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
1625
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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