Willow Tree Nursing Center - Oakland Nursing Home
General Information
UPDATEFederal Provider Number
55876
Provider Name
WILLOW TREE NURSING CENTER
Provider Address
2124 57TH AVENUE
OAKLAND, CA 94621
OAKLAND, CA 94621
Provider Phone Number
5102612628
Provider SSA County
0
Provider County Name
Alameda
Ownership Type
For profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
69
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
1968-01-18
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
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
2.11884
Reported LPN Staffing Hours per Resident per Day
0.74928
Reported RN Staffing Hours per Resident per Day
0.95797
Reported Licensed Staffing Hours per Resident per Day
1.70725
Reported Total Nurse Staffing Hours per Resident per Day
3.82609
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07899
Expected CNA Staffing Hours per Resident per Day
2.43130
Expected LPN Staffing Hours per Resident per Day
0.62242
Expected RN Staffing Hours per Resident per Day
0.98714
Expected Total Nurse Staffing Hours per Resident per Day
4.04085
Adjusted CNA Staffing Hours per Resident per Day
2.13837
Adjusted LPN Staffing Hours per Resident per Day
0.99917
Adjusted RN Staffing Hours per Resident per Day
0.72512
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81667
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-09-05
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
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-06-13
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
14
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
65.33300
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
15
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
Excell Health Care Center
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OAKLAND CA 94619 | 1.1 miles away
Oakhill Springs Care Center
3145 High Street |
OAKLAND CA 94619 | 1.1 miles away
Mercy Retirement & Care Center
3431 Foothill Blvd. |
OAKLAND CA 94601 | 1.6 miles away
Marina Garden Nursing Center
3201 Fernside Blvd. |
ALAMEDA CA 94501 | 1.7 miles away
Fruitvale Healthcare Center
3020 East 15th Street |
OAKLAND CA 94601 | 1.8 miles away
Garfield Neurobehavioral Center
1451 28th Avenue |
OAKLAND CA 94601 | 2 miles away
Windsor Healthcare Center Of Oakland
2919 Fruitvale Ave |
OAKLAND CA 94602 | 2.1 miles away
Bellaken Skilled Nursing Ctr
2780 26th Avenue |
OAKLAND CA 94601 | 2.1 miles away
Oakland Heights Nursing And Rehabilitation
2361 East 29th Street |
OAKLAND CA 94606 | 2.4 miles away
Alameda Hospital D/p Snf
2070 Clinton Ave |
ALAMEDA CA 94501 | 3.2 miles away
Bay Area Healthcare Center
1833 10th Avenue |
OAKLAND CA 94606 | 3.3 miles away
Bay View Rehabilitation Hospital, Llc
516 Willow Street |
ALAMEDA CA 94501 | 3.3 miles away
Alameda Healthcare & Wellness Center
430 Willow Street |
ALAMEDA CA 94501 | 3.3 miles away
Park Merritt Care Center
525 E 18th Street |
OAKLAND CA 94606 | 3.6 miles away
Jones Convalescent Hospital
524 Callan Avenue |
SAN LEANDRO CA 94577 | 3.8 miles away
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