Retama Manor Nursing Center/alice - Alice Nursing Home

General Information

UPDATE
Federal Provider Number
675309
Provider Name
RETAMA MANOR NURSING CENTER/ALICE
Provider Address
606 COYOTE TR
ALICE, TX 78332
Provider Phone Number
(361) 664-5479
Provider SSA County
711
Provider County Name
Jim Wells
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
136
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC ALICE OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1994-05-04
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
3
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
1.55857
Reported LPN Staffing Hours per Resident per Day
0.93952
Reported RN Staffing Hours per Resident per Day
0.25762
Reported Licensed Staffing Hours per Resident per Day
1.19714
Reported Total Nurse Staffing Hours per Resident per Day
2.75571
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05429
Expected CNA Staffing Hours per Resident per Day
2.47038
Expected LPN Staffing Hours per Resident per Day
0.59884
Expected RN Staffing Hours per Resident per Day
0.95875
Expected Total Nurse Staffing Hours per Resident per Day
4.02797
Adjusted CNA Staffing Hours per Resident per Day
1.54804
Adjusted LPN Staffing Hours per Resident per Day
1.30219
Adjusted RN Staffing Hours per Resident per Day
0.20078
Adjusted Total Nurse Staffing Hours per Resident per Day
2.75772
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-04-24
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-04-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
60.66700
Number of Facility Reported Incidents
0
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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