Trisun Care Center - Lakeside - San Antonio Nursing Home
General Information
UPDATEFederal Provider Number
676325
Provider Name
TRISUN CARE CENTER - LAKESIDE
Provider Address
8707 LAKESIDE PARKWAY
SAN ANTONIO, TX 78245
SAN ANTONIO, TX 78245
Provider Phone Number
(210) 510-3200
Provider SSA County
130
Provider County Name
Bexar
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PM MANAGEMENT - SAN ANTONIO NC LLC
Date First Approved to Provide Medicare and Medicaid services
2012-10-12
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.75909
Reported LPN Staffing Hours per Resident per Day
1.32614
Reported RN Staffing Hours per Resident per Day
0.68409
Reported Licensed Staffing Hours per Resident per Day
2.01023
Reported Total Nurse Staffing Hours per Resident per Day
4.76932
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06591
Expected CNA Staffing Hours per Resident per Day
2.40017
Expected LPN Staffing Hours per Resident per Day
0.68819
Expected RN Staffing Hours per Resident per Day
1.21322
Expected Total Nurse Staffing Hours per Resident per Day
4.30158
Adjusted CNA Staffing Hours per Resident per Day
2.82062
Adjusted LPN Staffing Hours per Resident per Day
1.59941
Adjusted RN Staffing Hours per Resident per Day
0.42132
Adjusted Total Nurse Staffing Hours per Resident per Day
4.46921
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-09-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
20
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
168
Cycle 2 Standard Health Survey Date
2013-07-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
168
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
36
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
86.00000
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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