Pecan Valley Nursing And Rehab Center - San Saba Nursing Home
General Information
UPDATEFederal Provider Number
675715
Provider Name
PECAN VALLEY NURSING AND REHAB CENTER
Provider Address
1405 W STOREY ST
SAN SABA, TX 76877
SAN SABA, TX 76877
Provider Phone Number
(325) 372-5112
Provider SSA County
886
Provider County Name
San Saba
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
80
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PECAN VALLEY NURSING AND REHAB CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1997-09-10
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.96061
Reported LPN Staffing Hours per Resident per Day
1.71061
Reported RN Staffing Hours per Resident per Day
0.60606
Reported Licensed Staffing Hours per Resident per Day
2.31667
Reported Total Nurse Staffing Hours per Resident per Day
6.27728
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17273
Expected CNA Staffing Hours per Resident per Day
2.59583
Expected LPN Staffing Hours per Resident per Day
0.64002
Expected RN Staffing Hours per Resident per Day
1.07791
Expected Total Nurse Staffing Hours per Resident per Day
4.31376
Adjusted CNA Staffing Hours per Resident per Day
3.74375
Adjusted LPN Staffing Hours per Resident per Day
2.21839
Adjusted RN Staffing Hours per Resident per Day
0.42012
Adjusted Total Nurse Staffing Hours per Resident per Day
5.86567
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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