Provider Name: THE VILLAGE AT INCARNATE WORD
Address: 4707 BROADWAY STREET, SAN ANTONIO, TX 78209
Phone: (210) 829-7561
County: Bexar (130)
Ownership Type: Non profit - Other
Certified Beds: 60
Average Residents Per Day: 50.8 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: INCARNATE WORD RETIREMENT COMMUNITY, INC.
First Approved Date: June 3, 2021
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 3 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.60534, LPN Staff Hours Per Day: 1.0444, RN Staff Hours Per Day: 0.4826, Licensed Staff Hours Per Day: 1.5271
Total Nurse Staff Hours Per Day, per resident: 4.13245
Weekend Nurse Staff Hours: 3.55969, Weekend RN Staff Hours: 0.2476
PT Staff Hours Per Day, per resident: 0.0696
Nurse Staff Turnover: 29.4, Nurse Turnover Note:
RN Turnover: 20.0, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0910, Case Mix LPN Hours Per Day: 0.6583, Case Mix RN Hours Per Day: 0.3121
Adjusted Nurse Aide Hours Per Day, per resident: 2.53835, Adjusted LPN Hours Per Day: 1.1707, Adjusted RN Hours Per Day: 0.5827
Total Adjusted Nurse Hours Per Day, per resident: 4.25470
Adjusted Weekend Nurse Hours Per Day, per resident: 3.66499
Health Survey Dates and Scores: Cycle 1: 2023-08-11 (Score: 20), Cycle 2: 2022-07-07 (Score: 0), Cycle 3: 2021-05-14 (Score: 0)
Total Weighted Health Score: 10.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 2, Total Fines in Dollars: 1625.00, Payment Denials Number: 0, Total Penalties Number: 2
Location and GPS: 4707 BROADWAY STREET,SAN ANTONIO,TX,78209 (29.4696, -98.464)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-08-12
Type: Health, Deficiency: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-08-12
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-08-12
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-08-12
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: