Shasta View Nursing Center - Weed Nursing Home
General Information
UPDATEFederal Provider Number
55807
Provider Name
SHASTA VIEW NURSING CENTER
Provider Address
445 PARK STREET
WEED, CA 96094
WEED, CA 96094
Provider Phone Number
5309384429
Provider SSA County
570
Provider County Name
Siskiyou
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
28
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MERIDIAN HEALTH SERVICES CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1967-07-14
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
4.78571
Reported LPN Staffing Hours per Resident per Day
1.01964
Reported RN Staffing Hours per Resident per Day
0.65179
Reported Licensed Staffing Hours per Resident per Day
1.67143
Reported Total Nurse Staffing Hours per Resident per Day
6.45714
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06071
Expected CNA Staffing Hours per Resident per Day
2.38366
Expected LPN Staffing Hours per Resident per Day
0.51996
Expected RN Staffing Hours per Resident per Day
0.72043
Expected Total Nurse Staffing Hours per Resident per Day
3.62405
Adjusted CNA Staffing Hours per Resident per Day
4.92634
Adjusted LPN Staffing Hours per Resident per Day
1.62763
Adjusted RN Staffing Hours per Resident per Day
0.67601
Adjusted Total Nurse Staffing Hours per Resident per Day
7.18205
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
377
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
377
Cycle 2 Total Number of Health Deficiencies
26
Cycle 2 Number of Standard Health Deficiencies
26
Cycle 2 Number of Complaint Health Deficiencies
26
Cycle 2 Health Deficiency Score
676
Cycle 2 Standard Health Survey Date
2014-07-03
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
338
Cycle 2 Total Health Score
338
Cycle 3 Total Number of Health Deficiencies
25
Cycle 3 Number of Standard Health Deficiencies
20
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
303
Cycle 3 Standard Health Survey Date
2013-05-13
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
152
Cycle 3 Total Health Score
455
Total Weighted Health Survey Score
602.33300
Number of Facility Reported Incidents
16
Number of Substantiated Complaints
11
Number of Fines
3
Total Amount of Fines in Dollars
133903
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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