Retama Manor Nursing Center/san Antonio North
501 Ogden, San Antonio, TX 78212


Retama Manor Nursing Center/san Antonio North is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 455817. The address is 501 Ogden, San Antonio, TX 78212. The zip code is 78212. The phone number is 2102254588.


Retama Manor Nursing Center/san Antonio North · 501 Ogden, San Antonio, TX 78212

Federal Provider Number 455817
Provider Name RETAMA MANOR NURSING CENTER/SAN ANTONIO NORTH
Address 501 OGDEN
SAN ANTONIO, TX 78212
Phone Number 2102254588
SSA County Code 130
County Name Bexar
Ownership Type For profit - Corporation
Certified Beds 132
Certified Beds Residents 100
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name UVALDE COUNTY HOSPITAL AUTHORITY
Date First Approved to Provide Medicare Medicaid Services 06/08/1989
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 Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 2
Quality Measure Rating 2
Staffing Rating 1
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2.0035
Reported LPN Staffing Hours per Resident per Day 0.705
Reported RN Staffing Hours per Resident per Day 0.588
Reported Licensed Staffing Hours per Resident per Day 1.293
Reported Total Nurse Staffing Hours per Resident per Day 3.2965
Reported Physical Therapist Staffing Hours per Resident Per Day 0.045
Expected CNA Staffing Hours per Resident per Day 2.37758
Expected LPN Staffing Hours per Resident per Day 0.66598
Expected RN Staffing Hours per Resident per Day 1.18277
Expected Total Nurse Staffing Hours per Resident per Day 4.22633
Adjusted CNA Staffing Hours per Resident per Day 2.06764
Adjusted LPN Staffing Hours per Resident per Day 0.87863
Adjusted RN Staffing Hours per Resident per Day 0.37146
Adjusted Total Nurse Staffing Hours per Resident per Day 3.14406
Cycle 1 Total Number of Health Deficiencies 8
Cycle 1 Number of Standard Health Deficiencies 8
Cycle 1 Health Deficiency Score 72
Cycle 1 Standard Survey Health Date 03/23/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 72
Cycle 2 Total Number of Health Deficiencies 13
Cycle 2 Number of Standard Health Deficiencies 13
Cycle 2 Health Deficiency Score 104
Cycle 2 Standard Health Survey Date 02/19/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 104
Cycle 3 Total Number of Health Deficiencies 11
Cycle 3 Number of Standard Health Deficiencies 9
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 60
Cycle 3 Standard Health Survey Date 02/06/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 60
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 · Retama Manor Nursing Center/san Antonio North

Owner Name Role Association Date
GAITONDE, GAJANAN (Individual) DIRECTOR since 02/28/2015
GARCIA, HECTOR (Individual) DIRECTOR since 02/28/2015
GONZALES, HECTOR (Individual) DIRECTOR since 02/28/2015
GUTIERREZ, MONICA (Individual) DIRECTOR since 02/28/2015
HARRELL, JOHN (Individual) DIRECTOR since 02/28/2015
KESSLER, WILLIAM (Individual) DIRECTOR since 02/28/2015
LOPEZ, VALERIE (Individual) OFFICER since 02/28/2015
NORDWICK, THOMAS (Individual) OFFICER since 02/28/2015
SHANE, ANDREW (Individual) OPERATIONAL/MANAGERIAL CONTROL since 02/28/2015
SSC SAN ANTONIO NORTH OPERATING COMPANY LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 02/28/2015
UVALDE COUNTY HOSPITAL AUTHORITY (Organization) OPERATIONAL/MANAGERIAL CONTROL since 02/28/2015
ZAMORA, RAUL (Individual) DIRECTOR since 02/28/2015

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