Southeast Nursing & Rehabilitation Center - San Antonio Nursing Home
General Information
UPDATEFederal Provider Number
675883
Provider Name
SOUTHEAST NURSING & REHABILITATION CENTER
Provider Address
4302 E SOUTHCROSS BLVD
SAN ANTONIO, TX 78222
SAN ANTONIO, TX 78222
Provider Phone Number
(210) 333-1223
Provider SSA County
130
Provider County Name
Bexar
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
116
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTHEAST SNF LLC
Date First Approved to Provide Medicare and Medicaid services
2001-09-06
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
3
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
2.49700
Reported LPN Staffing Hours per Resident per Day
1.38300
Reported RN Staffing Hours per Resident per Day
0.59000
Reported Licensed Staffing Hours per Resident per Day
1.97300
Reported Total Nurse Staffing Hours per Resident per Day
4.47000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02850
Expected CNA Staffing Hours per Resident per Day
2.35140
Expected LPN Staffing Hours per Resident per Day
0.73191
Expected RN Staffing Hours per Resident per Day
1.22236
Expected Total Nurse Staffing Hours per Resident per Day
4.30567
Adjusted CNA Staffing Hours per Resident per Day
2.60564
Adjusted LPN Staffing Hours per Resident per Day
1.56834
Adjusted RN Staffing Hours per Resident per Day
0.36065
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18474
Cycle 1 Total Number of Health Deficiencies
23
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
184
Cycle 1 Standard Survey Health Date
2014-05-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
184
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
37
Cycle 3 Number of Standard Health Deficiencies
31
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
236
Cycle 3 Standard Health Survey Date
2012-01-27
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
236
Total Weighted Health Survey Score
152.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
17
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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