Grace Healthcare Of Pleasant Hill - Pleasant Hill Nursing Home
General Information
UPDATEFederal Provider Number
55049
Provider Name
GRACE HEALTHCARE OF PLEASANT HILL
Provider Address
1625 OAK PARK BLVD.
PLEASANT HILL, CA 94523
PLEASANT HILL, CA 94523
Provider Phone Number
9259355222
Provider SSA County
60
Provider County Name
Contra Costa
Ownership Type
For profit - Partnership
Number of Certified Beds
51
Number of Residents in Certified Beds
42
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
1971-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.93452
Reported LPN Staffing Hours per Resident per Day
0.40000
Reported RN Staffing Hours per Resident per Day
1.38214
Reported Licensed Staffing Hours per Resident per Day
1.78214
Reported Total Nurse Staffing Hours per Resident per Day
4.71666
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11548
Expected CNA Staffing Hours per Resident per Day
2.49819
Expected LPN Staffing Hours per Resident per Day
0.58053
Expected RN Staffing Hours per Resident per Day
0.87425
Expected Total Nurse Staffing Hours per Resident per Day
3.95297
Adjusted CNA Staffing Hours per Resident per Day
2.88226
Adjusted LPN Staffing Hours per Resident per Day
0.57189
Adjusted RN Staffing Hours per Resident per Day
1.18128
Adjusted Total Nurse Staffing Hours per Resident per Day
4.80964
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
32
Cycle 2 Standard Health Survey Date
2013-05-09
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
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
20.00000
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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