Casa Coloma Hlth Care Center - Rancho Cordova Nursing Home
General Information
UPDATEFederal Provider Number
56495
Provider Name
CASA COLOMA HLTH CARE CENTER
Provider Address
10410 COLOMA RD
RANCHO CORDOVA, CA 95670
RANCHO CORDOVA, CA 95670
Provider Phone Number
9163634843
Provider SSA County
440
Provider County Name
Sacramento
Ownership Type
For profit - Partnership
Number of Certified Beds
138
Number of Residents in Certified Beds
125
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1975-11-19
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.86680
Reported LPN Staffing Hours per Resident per Day
0.63280
Reported RN Staffing Hours per Resident per Day
0.66680
Reported Licensed Staffing Hours per Resident per Day
1.29960
Reported Total Nurse Staffing Hours per Resident per Day
4.16640
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02560
Expected CNA Staffing Hours per Resident per Day
2.45579
Expected LPN Staffing Hours per Resident per Day
0.59106
Expected RN Staffing Hours per Resident per Day
0.90202
Expected Total Nurse Staffing Hours per Resident per Day
3.94887
Adjusted CNA Staffing Hours per Resident per Day
2.86436
Adjusted LPN Staffing Hours per Resident per Day
0.88861
Adjusted RN Staffing Hours per Resident per Day
0.55235
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25295
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-04-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-04-11
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
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
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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