Golden Living Center - Chateau - Stockton Nursing Home
General Information
UPDATEFederal Provider Number
55304
Provider Name
GOLDEN LIVING CENTER - CHATEAU
Provider Address
1221 ROSEMARIE LANE
STOCKTON, CA 95207
STOCKTON, CA 95207
Provider Phone Number
2094772664
Provider SSA County
490
Provider County Name
San Joaquin
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEVERLY HEALTH AND REHABILITATION SERVICES, INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
2
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
2.51193
Reported LPN Staffing Hours per Resident per Day
0.77443
Reported RN Staffing Hours per Resident per Day
0.88580
Reported Licensed Staffing Hours per Resident per Day
1.66023
Reported Total Nurse Staffing Hours per Resident per Day
4.17216
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06477
Expected CNA Staffing Hours per Resident per Day
2.49823
Expected LPN Staffing Hours per Resident per Day
0.62953
Expected RN Staffing Hours per Resident per Day
1.07020
Expected Total Nurse Staffing Hours per Resident per Day
4.19796
Adjusted CNA Staffing Hours per Resident per Day
2.46715
Adjusted LPN Staffing Hours per Resident per Day
1.02104
Adjusted RN Staffing Hours per Resident per Day
0.61845
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00612
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-10-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-12-13
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
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
63.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
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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Kindred Transitional Care & Rehab - Valley Gardens
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