Asian Community Nursing Home - Sacramento Nursing Home
General Information
UPDATEFederal Provider Number
555261
Provider Name
ASIAN COMMUNITY NURSING HOME
Provider Address
7801 RUSH RIVER DRIVE
SACRAMENTO, CA 95831
SACRAMENTO, CA 95831
Provider Phone Number
9163939020
Provider SSA County
440
Provider County Name
Sacramento
Ownership Type
Non profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ASIAN COMMUNITY CENTER OF SACRAMENTO VALLEY INC
Date First Approved to Provide Medicare and Medicaid services
1987-04-29
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.67609
Reported LPN Staffing Hours per Resident per Day
2.41848
Reported RN Staffing Hours per Resident per Day
0.70326
Reported Licensed Staffing Hours per Resident per Day
3.12174
Reported Total Nurse Staffing Hours per Resident per Day
3.79783
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12174
Expected CNA Staffing Hours per Resident per Day
2.54551
Expected LPN Staffing Hours per Resident per Day
0.59856
Expected RN Staffing Hours per Resident per Day
0.90773
Expected Total Nurse Staffing Hours per Resident per Day
4.05180
Adjusted CNA Staffing Hours per Resident per Day
0.65170
Adjusted LPN Staffing Hours per Resident per Day
3.35361
Adjusted RN Staffing Hours per Resident per Day
0.57889
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77824
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-07-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-07-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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