Retama Manor/laredo South - Laredo Nursing Home
General Information
UPDATEFederal Provider Number
675396
Provider Name
RETAMA MANOR/LAREDO SOUTH
Provider Address
1100 GALVESTON
LAREDO, TX 78040
LAREDO, TX 78040
Provider Phone Number
(956) 723-2068
Provider SSA County
953
Provider County Name
Webb
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
111
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC LAREDO SOUTH OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1994-09-30
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.08841
Reported LPN Staffing Hours per Resident per Day
0.47561
Reported RN Staffing Hours per Resident per Day
0.61585
Reported Licensed Staffing Hours per Resident per Day
1.09146
Reported Total Nurse Staffing Hours per Resident per Day
3.17987
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.34148
Expected LPN Staffing Hours per Resident per Day
0.62048
Expected RN Staffing Hours per Resident per Day
1.03146
Expected Total Nurse Staffing Hours per Resident per Day
3.99342
Adjusted CNA Staffing Hours per Resident per Day
2.18850
Adjusted LPN Staffing Hours per Resident per Day
0.63621
Adjusted RN Staffing Hours per Resident per Day
0.44613
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20971
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
144
Cycle 1 Standard Survey Health Date
2014-02-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
144
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
112
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-02-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
113.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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