Pecan Valley Rehabilitation And Healthcare Center - San Antonio Nursing Home
General Information
UPDATEFederal Provider Number
676250
Provider Name
PECAN VALLEY REHABILITATION AND HEALTHCARE CENTER
Provider Address
3838 E SOUTHCROSS BLVD
SAN ANTONIO, TX 78222
SAN ANTONIO, TX 78222
Provider Phone Number
(210) 581-2273
Provider SSA County
130
Provider County Name
Bexar
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
124
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PECAN VALLEY HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
2010-04-14
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
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
2.12155
Reported LPN Staffing Hours per Resident per Day
0.81509
Reported RN Staffing Hours per Resident per Day
0.41422
Reported Licensed Staffing Hours per Resident per Day
1.22931
Reported Total Nurse Staffing Hours per Resident per Day
3.35086
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10647
Expected CNA Staffing Hours per Resident per Day
2.56889
Expected LPN Staffing Hours per Resident per Day
0.77484
Expected RN Staffing Hours per Resident per Day
1.39795
Expected Total Nurse Staffing Hours per Resident per Day
4.74169
Adjusted CNA Staffing Hours per Resident per Day
2.02642
Adjusted LPN Staffing Hours per Resident per Day
0.87311
Adjusted RN Staffing Hours per Resident per Day
0.22140
Adjusted Total Nurse Staffing Hours per Resident per Day
2.84856
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
35
Cycle 2 Number of Standard Health Deficiencies
31
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
316
Cycle 2 Standard Health Survey Date
2013-06-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
316
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-04-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
148.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
5
Total Amount of Fines in Dollars
10400
Number of Payment Denials
0
Total Number of Penalties
5
Location
Processing Date
2015-06-01
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