Northbrook Healthcare Center - Willits Nursing Home
General Information
UPDATEFederal Provider Number
56215
Provider Name
NORTHBROOK HEALTHCARE CENTER
Provider Address
64 NORTHBROOK WAY
WILLITS, CA 95490
WILLITS, CA 95490
Provider Phone Number
7074595592
Provider SSA County
330
Provider County Name
Mendocino
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ENSIGN WILLITS LLC
Date First Approved to Provide Medicare and Medicaid services
1973-04-01
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.65513
Reported LPN Staffing Hours per Resident per Day
0.67308
Reported RN Staffing Hours per Resident per Day
0.92308
Reported Licensed Staffing Hours per Resident per Day
1.59615
Reported Total Nurse Staffing Hours per Resident per Day
4.25129
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18846
Expected CNA Staffing Hours per Resident per Day
2.42828
Expected LPN Staffing Hours per Resident per Day
0.57196
Expected RN Staffing Hours per Resident per Day
0.92828
Expected Total Nurse Staffing Hours per Resident per Day
3.92853
Adjusted CNA Staffing Hours per Resident per Day
2.68292
Adjusted LPN Staffing Hours per Resident per Day
0.97673
Adjusted RN Staffing Hours per Resident per Day
0.74301
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36207
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-04-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
128
Cycle 2 Standard Health Survey Date
2013-03-15
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
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
72.00000
Number of Facility Reported Incidents
2
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
Nursiong Homes Nearby
Redwood Cove Healthcare Center
1162 S Dora St. |
UKIAH CA 95482 | 21 miles away
Ukiah Post Acute
1349 South Dora St. |
UKIAH CA 95482 | 21.4 miles away
Sherwood Oaks Health Center
130 Dana Street |
FORT BRAGG CA 95437 | 22.9 miles away
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