Retama Manor Nursing Center/pleasanton South - Pleasanton Nursing Home
General Information
UPDATEFederal Provider Number
675428
Provider Name
RETAMA MANOR NURSING CENTER/PLEASANTON SOUTH
Provider Address
905 OAKLAWN
PLEASANTON, TX 78064
PLEASANTON, TX 78064
Provider Phone Number
(830) 569-3861
Provider SSA County
60
Provider County Name
Atascosa
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
88
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC PLEASANTON SOUTH OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1994-11-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
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
1.99590
Reported LPN Staffing Hours per Resident per Day
0.74754
Reported RN Staffing Hours per Resident per Day
0.34508
Reported Licensed Staffing Hours per Resident per Day
1.09262
Reported Total Nurse Staffing Hours per Resident per Day
3.08852
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05984
Expected CNA Staffing Hours per Resident per Day
2.26675
Expected LPN Staffing Hours per Resident per Day
0.62495
Expected RN Staffing Hours per Resident per Day
1.20256
Expected Total Nurse Staffing Hours per Resident per Day
4.09427
Adjusted CNA Staffing Hours per Resident per Day
2.16051
Adjusted LPN Staffing Hours per Resident per Day
0.99281
Adjusted RN Staffing Hours per Resident per Day
0.21441
Adjusted Total Nurse Staffing Hours per Resident per Day
3.04072
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-05-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
136
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
136
Total Weighted Health Survey Score
97.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
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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