Retama Manor Nursing Center/harlingen - Harlingen Nursing Home
General Information
UPDATEFederal Provider Number
455822
Provider Name
RETAMA MANOR NURSING CENTER/HARLINGEN
Provider Address
820 CAMELOT
HARLINGEN, TX 78550
HARLINGEN, TX 78550
Provider Phone Number
(956) 423-2663
Provider SSA County
240
Provider County Name
Cameron
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
129
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC HARLINGEN OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1989-06-12
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
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
2.38256
Reported LPN Staffing Hours per Resident per Day
0.82791
Reported RN Staffing Hours per Resident per Day
0.66279
Reported Licensed Staffing Hours per Resident per Day
1.49070
Reported Total Nurse Staffing Hours per Resident per Day
3.87326
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10930
Expected CNA Staffing Hours per Resident per Day
2.57075
Expected LPN Staffing Hours per Resident per Day
0.72232
Expected RN Staffing Hours per Resident per Day
1.24788
Expected Total Nurse Staffing Hours per Resident per Day
4.54095
Adjusted CNA Staffing Hours per Resident per Day
2.27408
Adjusted LPN Staffing Hours per Resident per Day
0.95133
Adjusted RN Staffing Hours per Resident per Day
0.39686
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43821
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-11
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-10-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
61.33300
Number of Facility Reported Incidents
1
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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