Princeton Place Rehabilitation & Healthcare Medica - San Antonio Nursing Home
General Information
UPDATEFederal Provider Number
675205
Provider Name
PRINCETON PLACE REHABILITATION & HEALTHCARE MEDICA
Provider Address
7602 LOUIS PASTEUR ST
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
Provider Phone Number
(210) 614-9974
Provider SSA County
130
Provider County Name
Bexar
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
87
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE FREDERICKSBURG CARE CO., LP
Date First Approved to Provide Medicare and Medicaid services
1993-10-27
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
2
Overall Rating Footnote
Health Inspection Rating
2
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
2.21700
Reported LPN Staffing Hours per Resident per Day
1.15900
Reported RN Staffing Hours per Resident per Day
0.74800
Reported Licensed Staffing Hours per Resident per Day
1.90700
Reported Total Nurse Staffing Hours per Resident per Day
4.12400
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15400
Expected CNA Staffing Hours per Resident per Day
2.47569
Expected LPN Staffing Hours per Resident per Day
0.75552
Expected RN Staffing Hours per Resident per Day
1.28991
Expected Total Nurse Staffing Hours per Resident per Day
4.52113
Adjusted CNA Staffing Hours per Resident per Day
2.19730
Adjusted LPN Staffing Hours per Resident per Day
1.27325
Adjusted RN Staffing Hours per Resident per Day
0.43329
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67684
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-09-19
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
23
Cycle 2 Number of Standard Health Deficiencies
23
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
180
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
180
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
96
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
96
Total Weighted Health Survey Score
100.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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