Retama Manor Nursing Center - Corpus Christi Nursing Home
General Information
UPDATEFederal Provider Number
455575
Provider Name
RETAMA MANOR NURSING CENTER
Provider Address
2322 MORGAN AVE
CORPUS CHRISTI, TX 78405
CORPUS CHRISTI, TX 78405
Provider Phone Number
(361) 882-4242
Provider SSA County
830
Provider County Name
Nueces
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
176
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC NUECES RETAMA LLC
Date First Approved to Provide Medicare and Medicaid services
1985-09-03
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.68119
Reported LPN Staffing Hours per Resident per Day
1.09266
Reported RN Staffing Hours per Resident per Day
0.48578
Reported Licensed Staffing Hours per Resident per Day
1.57844
Reported Total Nurse Staffing Hours per Resident per Day
3.25963
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.38717
Expected LPN Staffing Hours per Resident per Day
0.64905
Expected RN Staffing Hours per Resident per Day
1.11019
Expected Total Nurse Staffing Hours per Resident per Day
4.14641
Adjusted CNA Staffing Hours per Resident per Day
1.72804
Adjusted LPN Staffing Hours per Resident per Day
1.39729
Adjusted RN Staffing Hours per Resident per Day
0.32695
Adjusted Total Nurse Staffing Hours per Resident per Day
3.16882
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-03-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
172
Cycle 2 Standard Health Survey Date
2014-03-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
172
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2013-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
87.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
1300
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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