Scc At Pecan Valley Rehabilitation and Healthcare
3838 E Southcross Blvd, San Antonio, TX 78222


Scc At Pecan Valley Rehabilitation and Healthcare is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 676250. The address is 3838 E Southcross Blvd, San Antonio, TX 78222. The zip code is 78222. The phone number is 2105812273.


Scc At Pecan Valley Rehabilitation and Healthcare · 3838 E Southcross Blvd, San Antonio, TX 78222

Federal Provider Number 676250
Provider Name SCC AT PECAN VALLEY REHABILITATION AND HEALTHCARE
Address 3838 E SOUTHCROSS BLVD
SAN ANTONIO, TX 78222
Phone Number 2105812273
SSA County Code 130
County Name Bexar
Ownership Type For profit - Corporation
Certified Beds 124
Certified Beds Residents 101
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name PECAN VALLEY SCC LLC
Date First Approved to Provide Medicare Medicaid Services 04/14/2010
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 3
Health Inspection Rating 4
Quality Measure Rating 4
Staffing Rating 1
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2.25594
Reported LPN Staffing Hours per Resident per Day 0.90792
Reported RN Staffing Hours per Resident per Day 0.66287
Reported Licensed Staffing Hours per Resident per Day 1.57079
Reported Total Nurse Staffing Hours per Resident per Day 3.82673
Reported Physical Therapist Staffing Hours per Resident Per Day 0.18515
Expected CNA Staffing Hours per Resident per Day 2.57726
Expected LPN Staffing Hours per Resident per Day 0.81311
Expected RN Staffing Hours per Resident per Day 1.40516
Expected Total Nurse Staffing Hours per Resident per Day 4.79553
Adjusted CNA Staffing Hours per Resident per Day 2.14779
Adjusted LPN Staffing Hours per Resident per Day 0.92678
Adjusted RN Staffing Hours per Resident per Day 0.35248
Adjusted Total Nurse Staffing Hours per Resident per Day 3.21657
Cycle 1 Total Number of Health Deficiencies 6
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Health Deficiency Score 56
Cycle 1 Standard Survey Health Date 06/10/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 56
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 12
Cycle 2 Standard Health Survey Date 07/23/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 12
Cycle 3 Total Number of Health Deficiencies 9
Cycle 3 Number of Standard Health Deficiencies 9
Cycle 3 Health Deficiency Score 56
Cycle 3 Standard Health Survey Date 05/15/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 56
Total Weighted Health Survey Score 41.333
Number of Facility Reported Incidents 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Scc At Pecan Valley Rehabilitation and Healthcare

Owner Name Role Association Date
GRANITE INVESTMENT GROUP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/08/2015
GRANITE INVESTMENT HOLDING CO. INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/08/2015
HANSON, BENJAMIN (Individual) OFFICER since 07/01/2015
KERR, ANDREW (Individual) OFFICER since 05/08/2015
MCKENZIE, MARK (Individual) OFFICER since 05/08/2015
MCKENZIE, MARK (Individual) OPERATIONAL/MANAGERIAL CONTROL since 07/01/2015
SENIOR CARE CENTER MANAGEMENT LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 07/01/2015
SENIOR CARE CENTERS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 05/08/2015
SENIOR CARE CENTERS LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 05/08/2015
SILVER STAR INVESTMENTS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/08/2015
YATES, SHAWN (Individual) MANAGING EMPLOYEE since 07/01/2015

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