Retama Manor Nursing Center/laredo-west - Laredo Nursing Home
General Information
UPDATEFederal Provider Number
455528
Provider Name
RETAMA MANOR NURSING CENTER/LAREDO-WEST
Provider Address
1200 LANE
LAREDO, TX 78043
LAREDO, TX 78043
Provider Phone Number
(956) 722-0031
Provider SSA County
953
Provider County Name
Webb
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
198
Number of Residents in Certified Beds
133
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC LAREDO WEST OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1985-07-03
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
1
Health Inspection Rating Footnote
QM Rating
4
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
1.78271
Reported LPN Staffing Hours per Resident per Day
0.91353
Reported RN Staffing Hours per Resident per Day
0.18195
Reported Licensed Staffing Hours per Resident per Day
1.09549
Reported Total Nurse Staffing Hours per Resident per Day
2.87819
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.52740
Expected LPN Staffing Hours per Resident per Day
0.70829
Expected RN Staffing Hours per Resident per Day
1.06671
Expected Total Nurse Staffing Hours per Resident per Day
4.30241
Adjusted CNA Staffing Hours per Resident per Day
1.73072
Adjusted LPN Staffing Hours per Resident per Day
1.07050
Adjusted RN Staffing Hours per Resident per Day
0.12745
Adjusted Total Nurse Staffing Hours per Resident per Day
2.69656
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
216
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
216
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2014-01-30
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
14
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
154.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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