Princeton Place Rehabilitation & Healthcare Bander - San Antonio Nursing Home
General Information
UPDATEFederal Provider Number
675138
Provider Name
PRINCETON PLACE REHABILITATION & HEALTHCARE BANDER
Provider Address
1939 BANDERA RD
SAN ANTONIO, TX 78228
SAN ANTONIO, TX 78228
Provider Phone Number
(210) 434-0671
Provider SSA County
130
Provider County Name
Bexar
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
134
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE WILLIAMSBURG CARE COMPANY, LP
Date First Approved to Provide Medicare and Medicaid services
1993-03-19
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
1.86250
Reported LPN Staffing Hours per Resident per Day
1.09531
Reported RN Staffing Hours per Resident per Day
0.73594
Reported Licensed Staffing Hours per Resident per Day
1.83125
Reported Total Nurse Staffing Hours per Resident per Day
3.69375
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06302
Expected CNA Staffing Hours per Resident per Day
2.49055
Expected LPN Staffing Hours per Resident per Day
0.68097
Expected RN Staffing Hours per Resident per Day
1.14806
Expected Total Nurse Staffing Hours per Resident per Day
4.31958
Adjusted CNA Staffing Hours per Resident per Day
1.83494
Adjusted LPN Staffing Hours per Resident per Day
1.33502
Adjusted RN Staffing Hours per Resident per Day
0.47897
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44689
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-05-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-04-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
9
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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