San Juan Nursing Home Inc - San Juan Nursing Home
General Information
UPDATEFederal Provider Number
455484
Provider Name
SAN JUAN NURSING HOME INC
Provider Address
300 N NEBRASKA
SAN JUAN, TX 78589
SAN JUAN, TX 78589
Provider Phone Number
(956) 787-1771
Provider SSA County
650
Provider County Name
Hidalgo
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
108
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1984-03-06
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
3.02083
Reported LPN Staffing Hours per Resident per Day
0.94815
Reported RN Staffing Hours per Resident per Day
0.59769
Reported Licensed Staffing Hours per Resident per Day
1.54583
Reported Total Nurse Staffing Hours per Resident per Day
4.56667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00787
Expected CNA Staffing Hours per Resident per Day
2.91549
Expected LPN Staffing Hours per Resident per Day
0.80465
Expected RN Staffing Hours per Resident per Day
1.06522
Expected Total Nurse Staffing Hours per Resident per Day
4.78535
Adjusted CNA Staffing Hours per Resident per Day
2.54236
Adjusted LPN Staffing Hours per Resident per Day
0.97802
Adjusted RN Staffing Hours per Resident per Day
0.41925
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84669
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-05-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
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
160
Cycle 2 Standard Health Survey Date
2013-04-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
160
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
98.66700
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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