Retama Manor Nursing Center/robstown - Robstown Nursing Home
General Information
UPDATEFederal Provider Number
455838
Provider Name
RETAMA MANOR NURSING CENTER/ROBSTOWN
Provider Address
603 E AVE J
ROBSTOWN, TX 78380
ROBSTOWN, TX 78380
Provider Phone Number
(361) 387-1568
Provider SSA County
830
Provider County Name
Nueces
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC ROBSTOWN OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1989-08-14
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
4
Health Inspection Rating Footnote
QM Rating
2
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
1.61296
Reported LPN Staffing Hours per Resident per Day
0.87222
Reported RN Staffing Hours per Resident per Day
0.35370
Reported Licensed Staffing Hours per Resident per Day
1.22593
Reported Total Nurse Staffing Hours per Resident per Day
2.83888
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06574
Expected CNA Staffing Hours per Resident per Day
2.39671
Expected LPN Staffing Hours per Resident per Day
0.63976
Expected RN Staffing Hours per Resident per Day
1.18313
Expected Total Nurse Staffing Hours per Resident per Day
4.21960
Adjusted CNA Staffing Hours per Resident per Day
1.65131
Adjusted LPN Staffing Hours per Resident per Day
1.13159
Adjusted RN Staffing Hours per Resident per Day
0.22338
Adjusted Total Nurse Staffing Hours per Resident per Day
2.71192
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-05-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
24
Cycle 2 Standard Health Survey Date
2013-05-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
27.33300
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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