Servicios Integrados De Rehabilitacion (siro) Inc - Hormigueros Nursing Home

General Information

UPDATE
Federal Provider Number
405029
Provider Name
SERVICIOS INTEGRADOS DE REHABILITACION (SIRO) INC
Provider Address
CALLE 4 L 10 URB COLINAS DEL OESTE
HORMIGUEROS, PR 660
Provider Phone Number
7878492179
Provider SSA County
330
Provider County Name
Hormigueros
Ownership Type
For profit - Corporation
Number of Certified Beds
19
Number of Residents in Certified Beds
17
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
SERVICIOS INTEGRADOS DE REHABILITACION DEL OESTE INC
Date First Approved to Provide Medicare and Medicaid services
2006-07-13
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
No

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.00000
Reported LPN Staffing Hours per Resident per Day
2.84412
Reported RN Staffing Hours per Resident per Day
2.50588
Reported Licensed Staffing Hours per Resident per Day
5.35000
Reported Total Nurse Staffing Hours per Resident per Day
5.35000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.29412
Expected CNA Staffing Hours per Resident per Day
2.51758
Expected LPN Staffing Hours per Resident per Day
0.97936
Expected RN Staffing Hours per Resident per Day
2.20987
Expected Total Nurse Staffing Hours per Resident per Day
5.70681
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
2.41038
Adjusted RN Staffing Hours per Resident per Day
0.84729
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77887
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
112
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-08-09
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
95.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
8450
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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