Senior Care Of San Angelo - San Angelo Nursing Home
General Information
UPDATEFederal Provider Number
676100
Provider Name
SENIOR CARE OF SAN ANGELO
Provider Address
5455 KNICKERBOCKER RD
SAN ANGELO, TX 76904
SAN ANGELO, TX 76904
Provider Phone Number
(325) 944-1600
Provider SSA County
930
Provider County Name
Tom Green
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
125
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SAN ANGELO SCC, LLC
Date First Approved to Provide Medicare and Medicaid services
2006-04-11
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.11604
Reported LPN Staffing Hours per Resident per Day
0.77642
Reported RN Staffing Hours per Resident per Day
0.44292
Reported Licensed Staffing Hours per Resident per Day
1.21934
Reported Total Nurse Staffing Hours per Resident per Day
3.33538
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05708
Expected CNA Staffing Hours per Resident per Day
2.67781
Expected LPN Staffing Hours per Resident per Day
0.71318
Expected RN Staffing Hours per Resident per Day
1.21119
Expected Total Nurse Staffing Hours per Resident per Day
4.60217
Adjusted CNA Staffing Hours per Resident per Day
1.93895
Adjusted LPN Staffing Hours per Resident per Day
0.90360
Adjusted RN Staffing Hours per Resident per Day
0.27324
Adjusted Total Nurse Staffing Hours per Resident per Day
2.92136
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-05-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-05-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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