Wagner Heights Nursing & Rehab - Stockton Nursing Home
General Information
UPDATEFederal Provider Number
555470
Provider Name
WAGNER HEIGHTS NURSING & REHAB
Provider Address
9289 BRANSTETTER PLACE
STOCKTON, CA 95209
STOCKTON, CA 95209
Provider Phone Number
2094775252
Provider SSA County
490
Provider County Name
San Joaquin
Ownership Type
For profit - Corporation
Number of Certified Beds
152
Number of Residents in Certified Beds
141
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT CARE CALIFORNIA, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-06-19
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.24220
Reported LPN Staffing Hours per Resident per Day
0.75426
Reported RN Staffing Hours per Resident per Day
0.77695
Reported Licensed Staffing Hours per Resident per Day
1.53121
Reported Total Nurse Staffing Hours per Resident per Day
3.77341
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07695
Expected CNA Staffing Hours per Resident per Day
2.63134
Expected LPN Staffing Hours per Resident per Day
0.77286
Expected RN Staffing Hours per Resident per Day
1.25942
Expected Total Nurse Staffing Hours per Resident per Day
4.66362
Adjusted CNA Staffing Hours per Resident per Day
2.09083
Adjusted LPN Staffing Hours per Resident per Day
0.81002
Adjusted RN Staffing Hours per Resident per Day
0.46096
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26146
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-10-25
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
14
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
77.33300
Number of Facility Reported Incidents
9
Number of Substantiated Complaints
13
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
Meadowood A Health And Rehabilitation Center
3110 Wagner Heights Road |
STOCKTON CA 95209 | 0.6 mile away
Windsor Elmhaven Care Center
6940 Pacific Avenue |
STOCKTON CA 95207 | 2 miles away
Creekside Center
9107 N. Davis Road |
STOCKTON CA 95209 | 2.5 miles away
Kindred Transitional Care & Rehab - Valley Gardens
1517 East Knickerbocker Drive |
STOCKTON CA 95210 | 3 miles away
Crestwood Manor - 104
1130 Monaco Court |
STOCKTON CA 95207 | 3.5 miles away
Riverwood Healthcare Center
5320 Carrington Circle |
STOCKTON CA 95210 | 3.5 miles away
Golden Living Center - Chateau
1221 Rosemarie Lane |
STOCKTON CA 95207 | 3.6 miles away
Golden Living Center - Hy-pana
4545 Shelley Court |
STOCKTON CA 95207 | 3.7 miles away
La Salette Health And Rehabilitation Center
537 E. Fulton Street |
STOCKTON CA 95204 | 4.5 miles away
Golden Living Center - Portside
2740 North California Street |
STOCKTON CA 95204 | 5 miles away
Windsor Hampton Care Center
442 Hampton Street |
STOCKTON CA 95204 | 5.1 miles away
Good Samaritan Rehab And Care Center
1630 N. Edison Street |
STOCKTON CA 95204 | 5.2 miles away
Plymouth Square
1319 N. Madison Street |
STOCKTON CA 95202 | 5.5 miles away
Lincoln Square Post Acute Care
1032 N. Lincoln Street |
STOCKTON CA 95203 | 5.6 miles away
Delta Rehabilitation And Care Center
1334 S. Ham Lane |
LODI CA 95242 | 6.5 miles away
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