San Gabriel Rehabilitation And Care Center - Round Rock Nursing Home
General Information
UPDATEFederal Provider Number
676308
Provider Name
SAN GABRIEL REHABILITATION AND CARE CENTER
Provider Address
4100 COLLEGE PARK DR
ROUND ROCK, TX 78665
ROUND ROCK, TX 78665
Provider Phone Number
5123348000
Provider SSA County
970
Provider County Name
Williamson
Ownership Type
For profit - Corporation
Number of Certified Beds
142
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE INN OF SEGUIN LLC
Date First Approved to Provide Medicare and Medicaid services
2012-02-08
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.31098
Reported LPN Staffing Hours per Resident per Day
0.58110
Reported RN Staffing Hours per Resident per Day
0.77256
Reported Licensed Staffing Hours per Resident per Day
1.35366
Reported Total Nurse Staffing Hours per Resident per Day
3.66464
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05915
Expected CNA Staffing Hours per Resident per Day
2.37902
Expected LPN Staffing Hours per Resident per Day
0.68107
Expected RN Staffing Hours per Resident per Day
1.34752
Expected Total Nurse Staffing Hours per Resident per Day
4.40761
Adjusted CNA Staffing Hours per Resident per Day
2.38352
Adjusted LPN Staffing Hours per Resident per Day
0.70817
Adjusted RN Staffing Hours per Resident per Day
0.42839
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35143
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
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
56
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
301
Cycle 3 Standard Health Survey Date
2013-01-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
301
Total Weighted Health Survey Score
90.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
2
Total Amount of Fines in Dollars
7000
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
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