Senior Care Of Meadow Creek - San Angelo Nursing Home
General Information
UPDATEFederal Provider Number
676031
Provider Name
SENIOR CARE OF MEADOW CREEK
Provider Address
4343 OAK GROVE BLVD
SAN ANGELO, TX 76904
SAN ANGELO, TX 76904
Provider Phone Number
3259492559
Provider SSA County
930
Provider County Name
Tom Green
Ownership Type
For profit - Partnership
Number of Certified Beds
80
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEADOW CREEK SCC LLC
Date First Approved to Provide Medicare and Medicaid services
2004-08-25
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
2.13750
Reported LPN Staffing Hours per Resident per Day
1.06691
Reported RN Staffing Hours per Resident per Day
0.55441
Reported Licensed Staffing Hours per Resident per Day
1.62132
Reported Total Nurse Staffing Hours per Resident per Day
3.75882
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08382
Expected CNA Staffing Hours per Resident per Day
2.48839
Expected LPN Staffing Hours per Resident per Day
0.65245
Expected RN Staffing Hours per Resident per Day
1.09908
Expected Total Nurse Staffing Hours per Resident per Day
4.23992
Adjusted CNA Staffing Hours per Resident per Day
2.10770
Adjusted LPN Staffing Hours per Resident per Day
1.35725
Adjusted RN Staffing Hours per Resident per Day
0.37691
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57352
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
632
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
632
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-08-29
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
12
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
160
Cycle 3 Standard Health Survey Date
2012-08-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
160
Total Weighted Health Survey Score
373.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
7
Number of Fines
3
Total Amount of Fines in Dollars
14593
Number of Payment Denials
1
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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