River City Care Center
921 Nolan St, San Antonio, TX 78202


River City Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 675896. The address is 921 Nolan St, San Antonio, TX 78202. The zip code is 78202. The phone number is 2102266397.


River City Care Center · 921 Nolan St, San Antonio, TX 78202

Federal Provider Number 675896
Provider Name RIVER CITY CARE CENTER
Address 921 NOLAN ST
SAN ANTONIO, TX 78202
Phone Number 2102266397
SSA County Code 130
County Name Bexar
Ownership Type For profit - Corporation
Certified Beds 100
Certified Beds Residents 91
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name GRUENEPOINTE 1 RIVER CITY, LLC
Date First Approved to Provide Medicare Medicaid Services 11/30/2001
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 1
Quality Measure Rating 1
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 1.02308
Reported LPN Staffing Hours per Resident per Day 0.77692
Reported RN Staffing Hours per Resident per Day 0.2978
Reported Licensed Staffing Hours per Resident per Day 1.07473
Reported Total Nurse Staffing Hours per Resident per Day 2.0978
Reported Physical Therapist Staffing Hours per Resident Per Day 0.0456
Expected CNA Staffing Hours per Resident per Day 2.24289
Expected LPN Staffing Hours per Resident per Day 0.63792
Expected RN Staffing Hours per Resident per Day 1.35995
Expected Total Nurse Staffing Hours per Resident per Day 4.24076
Adjusted CNA Staffing Hours per Resident per Day 1.11924
Adjusted LPN Staffing Hours per Resident per Day 1.01085
Adjusted RN Staffing Hours per Resident per Day 0.16362
Adjusted Total Nurse Staffing Hours per Resident per Day 1.99399
Cycle 1 Total Number of Health Deficiencies 30
Cycle 1 Number of Standard Health Deficiencies 15
Cycle 1 Number of Complaint Health Deficiencies 17
Cycle 1 Health Deficiency Score 687
Cycle 1 Standard Survey Health Date 05/26/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 687
Cycle 2 Total Number of Health Deficiencies 18
Cycle 2 Number of Standard Health Deficiencies 10
Cycle 2 Number of Complaint Health Deficiencies 12
Cycle 2 Health Deficiency Score 816
Cycle 2 Standard Health Survey Date 05/08/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 816
Cycle 3 Total Number of Health Deficiencies 9
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 72
Cycle 3 Standard Health Survey Date 03/27/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 72
Total Weighted Health Survey Score 627.5
Number of Facility Reported Incidents 5
Number of Substantiated Complaints 12
Number of Fines 1
Total Amount of Fines in Dollars $6500.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · River City Care Center

Owner Name Role Association Date
BRADSHAW, STAN (Individual) OFFICER since 08/01/2015
ENCANTADO INVESTMENTS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2015
GRAN TORO ROJO, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2015
GRUENE INTERESTS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2015
GRUENE USFC, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2015
GRUENEPOINTE HOLDINGS, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 08/01/2015
GUNDERSON, DAVID (Individual) OFFICER since 08/01/2015
KRISTOFEK, AMY (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2015
KRISTOFEK, KENNETH (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2015
KRISTOFEK, KENNETH (Individual) OFFICER since 08/01/2015
LAKI OHANA TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2015
LAKI OHANA, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2015
ONPOINTE MANAGEMENT, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 08/01/2015
SK BRADSHAW FAMILY, LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2015
US FREEDOM CAPITAL HOLDINGS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2015
WILLIAMSON, JERRY (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2015
WILLIAMSON, JERRY (Individual) OFFICER since 08/01/2015
WINCHESTER, HORACE (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2015
WSQUARED ENTERPRISES LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/01/2016
WSQUARED HOLDINGS, LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/01/2016
YEZAK, ANTHONY (Individual) MANAGING EMPLOYEE since 08/01/2015

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