Trisun Care Center - Lakeside
8707 Lakeside Parkway, San Antonio, TX 78245


Trisun Care Center - Lakeside is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 676325. The address is 8707 Lakeside Parkway, San Antonio, TX 78245. The zip code is 78245. The phone number is 2105103200.


Trisun Care Center - Lakeside · 8707 Lakeside Parkway, San Antonio, TX 78245

Federal Provider Number 676325
Provider Name TRISUN CARE CENTER - LAKESIDE
Address 8707 LAKESIDE PARKWAY
SAN ANTONIO, TX 78245
Phone Number 2105103200
SSA County Code 130
County Name Bexar
Ownership Type For profit - Corporation
Certified Beds 118
Certified Beds Residents 98
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name PM MANAGEMENT - SAN ANTONIO NC LLC
Date First Approved to Provide Medicare Medicaid Services 10/12/2012
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 4
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.14337
Reported LPN Staffing Hours per Resident per Day 1.02245
Reported RN Staffing Hours per Resident per Day 0.47347
Reported Licensed Staffing Hours per Resident per Day 1.49592
Reported Total Nurse Staffing Hours per Resident per Day 3.63929
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04745
Expected CNA Staffing Hours per Resident per Day 2.4497
Expected LPN Staffing Hours per Resident per Day 0.72036
Expected RN Staffing Hours per Resident per Day 1.29967
Expected Total Nurse Staffing Hours per Resident per Day 4.46973
Adjusted CNA Staffing Hours per Resident per Day 2.14687
Adjusted LPN Staffing Hours per Resident per Day 1.17808
Adjusted RN Staffing Hours per Resident per Day 0.2722
Adjusted Total Nurse Staffing Hours per Resident per Day 3.28199
Cycle 1 Total Number of Health Deficiencies 5
Cycle 1 Number of Standard Health Deficiencies 5
Cycle 1 Health Deficiency Score 40
Cycle 1 Standard Survey Health Date 11/09/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 40
Cycle 2 Total Number of Health Deficiencies 3
Cycle 2 Number of Standard Health Deficiencies 3
Cycle 2 Health Deficiency Score 24
Cycle 2 Standard Health Survey Date 10/22/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 24
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 56
Cycle 3 Standard Health Survey Date 09/10/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 56
Total Weighted Health Survey Score 37.333
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Trisun Care Center - Lakeside

Owner Name Role Association Date
CTLTC REAL ESTATE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/01/2012
GRANITE INVESTMENT GROUP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2015
GRANITE INVESTMENT HOLDING CO. INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2015
HANSON, BENJAMIN (Individual) OFFICER since 04/01/2015
HARDEN NON-HUD HOLDCO, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 10/31/2013
HARTMAN, BILLIE (Individual) MANAGING EMPLOYEE since 01/26/2015
KERR, ANDREW (Individual) OFFICER since 04/01/2015
MCKENZIE, MARK (Individual) OFFICER since 04/01/2015
MCKENZIE, MARK (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2014
SENIOR CARE CENTER MANAGEMENT LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2014
SENIOR CARE CENTERS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2015
SENIOR CARE CENTERS LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 04/01/2015
SILVER STAR INVESTMENTS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2015

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