San Rafael Nursing And Rehabilitation Center - Corpus Christi Nursing Home
General Information
UPDATEFederal Provider Number
675717
Provider Name
SAN RAFAEL NURSING AND REHABILITATION CENTER
Provider Address
3050 SUNNYBROOK RD
CORPUS CHRISTI, TX 78415
CORPUS CHRISTI, TX 78415
Provider Phone Number
(361) 853-9981
Provider SSA County
830
Provider County Name
Nueces
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
178
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CORPUS CHRISTI HEALTH FACILITIES, L.P.
Date First Approved to Provide Medicare and Medicaid services
1997-07-31
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
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
2.28532
Reported LPN Staffing Hours per Resident per Day
0.83349
Reported RN Staffing Hours per Resident per Day
0.42477
Reported Licensed Staffing Hours per Resident per Day
1.25826
Reported Total Nurse Staffing Hours per Resident per Day
3.54358
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.54698
Expected LPN Staffing Hours per Resident per Day
0.58991
Expected RN Staffing Hours per Resident per Day
0.91580
Expected Total Nurse Staffing Hours per Resident per Day
4.05268
Adjusted CNA Staffing Hours per Resident per Day
2.20162
Adjusted LPN Staffing Hours per Resident per Day
1.17272
Adjusted RN Staffing Hours per Resident per Day
0.34657
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52453
Cycle 1 Total Number of Health Deficiencies
29
Cycle 1 Number of Standard Health Deficiencies
20
Cycle 1 Number of Complaint Health Deficiencies
14
Cycle 1 Health Deficiency Score
468
Cycle 1 Standard Survey Health Date
2014-08-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
468
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-07-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
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
0
Cycle 3 Standard Health Survey Date
2012-07-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
258.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
13
Number of Fines
1
Total Amount of Fines in Dollars
2000
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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