San Jose Nursing Center - San Antonio Nursing Home
General Information
UPDATEFederal Provider Number
45E312
Provider Name
SAN JOSE NURSING CENTER
Provider Address
406 SHARMAIN PL
SAN ANTONIO, TX 78221
SAN ANTONIO, TX 78221
Provider Phone Number
(210) 924-8136
Provider SSA County
130
Provider County Name
Bexar
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
49
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.58265
Reported LPN Staffing Hours per Resident per Day
0.99592
Reported RN Staffing Hours per Resident per Day
0.42755
Reported Licensed Staffing Hours per Resident per Day
1.42347
Reported Total Nurse Staffing Hours per Resident per Day
4.00612
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.48630
Expected LPN Staffing Hours per Resident per Day
0.63592
Expected RN Staffing Hours per Resident per Day
0.87030
Expected Total Nurse Staffing Hours per Resident per Day
3.99252
Adjusted CNA Staffing Hours per Resident per Day
2.54879
Adjusted LPN Staffing Hours per Resident per Day
1.29987
Adjusted RN Staffing Hours per Resident per Day
0.36707
Adjusted Total Nurse Staffing Hours per Resident per Day
4.04463
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
64
Cycle 1 Standard Survey Health Date
2014-04-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-03-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
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
20
Cycle 3 Standard Health Survey Date
2012-02-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
67.33300
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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