Shannon Medical Center - San Angelo Nursing Home
General Information
UPDATEFederal Provider Number
455691
Provider Name
SHANNON MEDICAL CENTER
Provider Address
2018 PULLIAM
SAN ANGELO, TX 76903
SAN ANGELO, TX 76903
Provider Phone Number
3256536741
Provider SSA County
930
Provider County Name
Tom Green
Ownership Type
Non profit - Corporation
Number of Certified Beds
28
Number of Residents in Certified Beds
8
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
SHANNON MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1986-09-12
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
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
0
Staffing Rating Footnote
Data Not Available
RN Staffing Rating
0
RN Staffing Rating Footnote
Data Not Available
Reported Staffing Footnote
Staffing Values not Reported because of Data Quality Concerns
Physical Therapist Staffing Footnote
Physical Therapy Staffing Values not Reported because of Data Quality Concerns
Reported CNA Staffing Hours per Resident per Day
0.00000
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.00000
Reported Licensed Staffing Hours per Resident per Day
0.00000
Reported Total Nurse Staffing Hours per Resident per Day
0.00000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.52679
Expected LPN Staffing Hours per Resident per Day
0.89485
Expected RN Staffing Hours per Resident per Day
1.92848
Expected Total Nurse Staffing Hours per Resident per Day
5.35013
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.00000
Adjusted Total Nurse Staffing Hours per Resident per Day
0.00000
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-11-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-04
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2013-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
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
Nursiong Homes Nearby
Arbor Terrace Healthcare Center
609 Rio Concho Dr |
SAN ANGELO TX 76903 | 1.3 miles away
Elsie Gayer Health Care Center
902 N Main St |
SAN ANGELO TX 76903 | 1.6 miles away
Sagecrest Alzheimers Care Center
438 Houston-harte |
SAN ANGELO TX 76903 | 2.3 miles away
West Texas Ltc Partners Inc
1915 Greenwood St |
SAN ANGELO TX 76901 | 4 miles away
Park Plaza Ltc Partners, Inc.
2210 Howard St |
SAN ANGELO TX 76901 | 4.1 miles away
Senior Care Of Meadow Creek
4343 Oak Grove Blvd |
SAN ANGELO TX 76904 | 6.4 miles away
Senior Care Of San Angelo
5455 Knickerbocker Rd |
SAN ANGELO TX 76904 | 6.5 miles away
Regency House
3745 Summer Crest Dr |
SAN ANGELO TX 76901 | 7.3 miles away
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