Memorial Medical Nursing Center
307 W Cypress St, San Antonio, TX 78212


Memorial Medical Nursing Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 455597. The address is 307 W Cypress St, San Antonio, TX 78212. The zip code is 78212. The phone number is 2102235521.


Memorial Medical Nursing Center · 307 W Cypress St, San Antonio, TX 78212

Federal Provider Number 455597
Provider Name MEMORIAL MEDICAL NURSING CENTER
Address 307 W CYPRESS ST
SAN ANTONIO, TX 78212
Phone Number 2102235521
SSA County Code 130
County Name Bexar
Ownership Type For profit - Individual
Certified Beds 135
Certified Beds Residents 98
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name SSC SAN ANTONIO MEMORIAL OPERATING COMPANY LLC
Date First Approved to Provide Medicare Medicaid Services 09/20/1985
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 2
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 1.73776
Reported LPN Staffing Hours per Resident per Day 1.20306
Reported RN Staffing Hours per Resident per Day 0.38418
Reported Licensed Staffing Hours per Resident per Day 1.58724
Reported Total Nurse Staffing Hours per Resident per Day 3.325
Reported Physical Therapist Staffing Hours per Resident Per Day 0.10459
Expected CNA Staffing Hours per Resident per Day 2.44371
Expected LPN Staffing Hours per Resident per Day 0.69035
Expected RN Staffing Hours per Resident per Day 1.18437
Expected Total Nurse Staffing Hours per Resident per Day 4.31843
Adjusted CNA Staffing Hours per Resident per Day 1.74486
Adjusted LPN Staffing Hours per Resident per Day 1.44642
Adjusted RN Staffing Hours per Resident per Day 0.24237
Adjusted Total Nurse Staffing Hours per Resident per Day 3.10361
Cycle 1 Total Number of Health Deficiencies 12
Cycle 1 Number of Standard Health Deficiencies 10
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 80
Cycle 1 Standard Survey Health Date 05/04/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 80
Cycle 2 Total Number of Health Deficiencies 11
Cycle 2 Number of Standard Health Deficiencies 8
Cycle 2 Number of Complaint Health Deficiencies 3
Cycle 2 Health Deficiency Score 76
Cycle 2 Standard Health Survey Date 07/28/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 76
Cycle 3 Total Number of Health Deficiencies 13
Cycle 3 Number of Standard Health Deficiencies 8
Cycle 3 Number of Complaint Health Deficiencies 5
Cycle 3 Health Deficiency Score 92
Cycle 3 Standard Health Survey Date 07/10/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 92
Total Weighted Health Survey Score 80.667
Number of Substantiated Complaints 3
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Memorial Medical Nursing Center

Owner Name Role Association Date
BLAND, CHRISTOPHER (Individual) MANAGING EMPLOYEE since 11/17/2009
BLAND, CHRISTOPHER (Individual) OFFICER since 11/17/2009
HACKETT, EDWARD (Individual) DIRECTOR since 11/17/2009
HACKETT, EDWARD (Individual) MANAGING EMPLOYEE since 11/17/2009
MASTER TENANT PARENT HOLDCO, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/11/2013
MILLER, KATHRIN (Individual) DIRECTOR since 04/01/2013
MILLER, KATHRIN (Individual) MANAGING EMPLOYEE since 04/01/2013
OGLESBY, TONY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/11/2013
PROTO EQUITY HOLDINGS, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/11/2013
SAVASENIORCARE LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2005
SHANE, ANDREW (Individual) OFFICER since 05/01/2014
SIMS, WYNN (Individual) OFFICER since 11/17/2009
SSC EQUITY HOLDINGS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2005
TERPAX, INC. (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/11/2013
TEXAS HOLDCO, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/11/2013

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