The Forum At Lincoln Heights - San Antonio Nursing Home
General Information
UPDATEFederal Provider Number
455870
Provider Name
THE FORUM AT LINCOLN HEIGHTS
Provider Address
311 W NOTTINGHAM
SAN ANTONIO, TX 78209
SAN ANTONIO, TX 78209
Provider Phone Number
(210) 824-2314
Provider SSA County
130
Provider County Name
Bexar
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
43
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
FIVE STAR LINCOLN HEIGHTS, LLC
Date First Approved to Provide Medicare and Medicaid services
1990-04-10
Continuing Care Retirement Community
Y
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
2
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
3.54419
Reported LPN Staffing Hours per Resident per Day
1.12558
Reported RN Staffing Hours per Resident per Day
0.40465
Reported Licensed Staffing Hours per Resident per Day
1.53023
Reported Total Nurse Staffing Hours per Resident per Day
5.07442
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15930
Expected CNA Staffing Hours per Resident per Day
2.65632
Expected LPN Staffing Hours per Resident per Day
0.54819
Expected RN Staffing Hours per Resident per Day
0.87068
Expected Total Nurse Staffing Hours per Resident per Day
4.07519
Adjusted CNA Staffing Hours per Resident per Day
3.27385
Adjusted LPN Staffing Hours per Resident per Day
1.70421
Adjusted RN Staffing Hours per Resident per Day
0.34726
Adjusted Total Nurse Staffing Hours per Resident per Day
5.01927
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-14
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
32.00000
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
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