Retama Manor Nursing Center/pleasanton North - Pleasanton Nursing Home
General Information
UPDATEFederal Provider Number
675502
Provider Name
RETAMA MANOR NURSING CENTER/PLEASANTON NORTH
Provider Address
404 GOODWIN ST
PLEASANTON, TX 78064
PLEASANTON, TX 78064
Provider Phone Number
(830) 569-2138
Provider SSA County
60
Provider County Name
Atascosa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC PLEASANTON NORTH OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1995-03-16
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
1.69750
Reported LPN Staffing Hours per Resident per Day
0.96000
Reported RN Staffing Hours per Resident per Day
0.51875
Reported Licensed Staffing Hours per Resident per Day
1.47875
Reported Total Nurse Staffing Hours per Resident per Day
3.17625
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01750
Expected CNA Staffing Hours per Resident per Day
2.05659
Expected LPN Staffing Hours per Resident per Day
0.59260
Expected RN Staffing Hours per Resident per Day
1.03522
Expected Total Nurse Staffing Hours per Resident per Day
3.68442
Adjusted CNA Staffing Hours per Resident per Day
2.02527
Adjusted LPN Staffing Hours per Resident per Day
1.34457
Adjusted RN Staffing Hours per Resident per Day
0.37442
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47495
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-02-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
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
32
Cycle 2 Standard Health Survey Date
2014-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2013-02-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
0
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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