Meridian Care At Grayson Square
815 E Grayson St, San Antonio, TX 78208


Meridian Care At Grayson Square is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 675615. The address is 815 E Grayson St, San Antonio, TX 78208. The zip code is 78208. The phone number is 2102268181.


Meridian Care At Grayson Square · 815 E Grayson St, San Antonio, TX 78208

Federal Provider Number 675615
Provider Name MERIDIAN CARE AT GRAYSON SQUARE
Address 815 E GRAYSON ST
SAN ANTONIO, TX 78208
Phone Number 2102268181
SSA County Code 130
County Name Bexar
Ownership Type For profit - Corporation
Certified Beds 90
Certified Beds Residents 70
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name RJ MERIDIAN CARE OF SAN ANTONIO III LLC
Date First Approved to Provide Medicare Medicaid Services 07/23/1996
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 2
Health Inspection Rating 3
Quality Measure Rating 1
Staffing Rating 3
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 1.61429
Reported LPN Staffing Hours per Resident per Day 0.45714
Reported RN Staffing Hours per Resident per Day 0.84857
Reported Licensed Staffing Hours per Resident per Day 1.30571
Reported Total Nurse Staffing Hours per Resident per Day 2.92
Reported Physical Therapist Staffing Hours per Resident Per Day 0.00786
Expected CNA Staffing Hours per Resident per Day 2.17806
Expected LPN Staffing Hours per Resident per Day 0.55284
Expected RN Staffing Hours per Resident per Day 0.84779
Expected Total Nurse Staffing Hours per Resident per Day 3.57869
Adjusted CNA Staffing Hours per Resident per Day 1.81858
Adjusted LPN Staffing Hours per Resident per Day 0.68632
Adjusted RN Staffing Hours per Resident per Day 0.74789
Adjusted Total Nurse Staffing Hours per Resident per Day 3.28898
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Health Deficiency Score 32
Cycle 1 Standard Survey Health Date 11/10/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 32
Cycle 2 Total Number of Health Deficiencies 10
Cycle 2 Number of Standard Health Deficiencies 10
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 88
Cycle 2 Standard Health Survey Date 10/09/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 88
Cycle 3 Total Number of Health Deficiencies 10
Cycle 3 Number of Standard Health Deficiencies 10
Cycle 3 Health Deficiency Score 80
Cycle 3 Standard Health Survey Date 07/10/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 80
Total Weighted Health Survey Score 58.667
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Meridian Care At Grayson Square

Owner Name Role Association Date
BALENTINE, JAY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 07/01/2011
BALENTINE, JAY (Individual) OFFICER since 07/01/2011
LOZANO, RAMIRO (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 07/01/2011
LOZANO, RAMIRO (Individual) MANAGING EMPLOYEE since 07/01/2011
LOZANO, RAMIRO (Individual) OFFICER since 07/01/2011

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