Town And Country Manor - Boerne Nursing Home
General Information
UPDATEFederal Provider Number
455796
Provider Name
TOWN AND COUNTRY MANOR
Provider Address
625 N MAIN ST
BOERNE, TX 78006
BOERNE, TX 78006
Provider Phone Number
(830) 249-3085
Provider SSA County
731
Provider County Name
Kendall
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
101
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
MEDINA COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1998-03-03
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
1.60248
Reported LPN Staffing Hours per Resident per Day
1.12525
Reported RN Staffing Hours per Resident per Day
0.43366
Reported Licensed Staffing Hours per Resident per Day
1.55891
Reported Total Nurse Staffing Hours per Resident per Day
3.16139
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02822
Expected CNA Staffing Hours per Resident per Day
2.22913
Expected LPN Staffing Hours per Resident per Day
0.57407
Expected RN Staffing Hours per Resident per Day
0.94975
Expected Total Nurse Staffing Hours per Resident per Day
3.75296
Adjusted CNA Staffing Hours per Resident per Day
1.76392
Adjusted LPN Staffing Hours per Resident per Day
1.62691
Adjusted RN Staffing Hours per Resident per Day
0.34117
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39552
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
152
Cycle 2 Standard Health Survey Date
2014-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
152
Cycle 3 Total Number of Health Deficiencies
23
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
365
Cycle 3 Standard Health Survey Date
2013-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
365
Total Weighted Health Survey Score
127.50000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
5200
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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