Retama Manor Nursing Center/san Antonio North - San Antonio Nursing Home
General Information
UPDATEFederal Provider Number
455817
Provider Name
RETAMA MANOR NURSING CENTER/SAN ANTONIO NORTH
Provider Address
501 OGDEN
SAN ANTONIO, TX 78212
SAN ANTONIO, TX 78212
Provider Phone Number
(210) 225-4588
Provider SSA County
130
Provider County Name
Bexar
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC SAN ANTONIO NORTH OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1989-06-08
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
1
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
1.76814
Reported LPN Staffing Hours per Resident per Day
0.96029
Reported RN Staffing Hours per Resident per Day
0.23529
Reported Licensed Staffing Hours per Resident per Day
1.19559
Reported Total Nurse Staffing Hours per Resident per Day
2.96372
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04755
Expected CNA Staffing Hours per Resident per Day
2.18069
Expected LPN Staffing Hours per Resident per Day
0.61280
Expected RN Staffing Hours per Resident per Day
1.04422
Expected Total Nurse Staffing Hours per Resident per Day
3.83771
Adjusted CNA Staffing Hours per Resident per Day
1.98950
Adjusted LPN Staffing Hours per Resident per Day
1.30066
Adjusted RN Staffing Hours per Resident per Day
0.16836
Adjusted Total Nurse Staffing Hours per Resident per Day
3.11292
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
68
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
120
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
12
Cycle 3 Health Deficiency Score
132
Cycle 3 Standard Health Survey Date
2012-11-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
132
Total Weighted Health Survey Score
96.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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