Woodland Skilled Nursing Facility - Woodland Nursing Home
General Information
UPDATEFederal Provider Number
56109
Provider Name
WOODLAND SKILLED NURSING FACILITY
Provider Address
678 THIRD STREET
WOODLAND, CA 95695
WOODLAND, CA 95695
Provider Phone Number
5306629643
Provider SSA County
670
Provider County Name
Yolo
Ownership Type
For profit - Corporation
Number of Certified Beds
91
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOODLAND SKILLED NURSING FACILITY, INC.
Date First Approved to Provide Medicare and Medicaid services
1969-09-23
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
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
3.01622
Reported LPN Staffing Hours per Resident per Day
1.05338
Reported RN Staffing Hours per Resident per Day
0.73986
Reported Licensed Staffing Hours per Resident per Day
1.79324
Reported Total Nurse Staffing Hours per Resident per Day
4.80946
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17635
Expected CNA Staffing Hours per Resident per Day
2.26772
Expected LPN Staffing Hours per Resident per Day
0.68929
Expected RN Staffing Hours per Resident per Day
1.02824
Expected Total Nurse Staffing Hours per Resident per Day
3.98525
Adjusted CNA Staffing Hours per Resident per Day
3.26359
Adjusted LPN Staffing Hours per Resident per Day
1.26842
Adjusted RN Staffing Hours per Resident per Day
0.53764
Adjusted Total Nurse Staffing Hours per Resident per Day
4.86455
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-04-17
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-05-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
14.00000
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
Nursiong Homes Nearby
Alderson Convalescent Hospital
124 Walnut Street |
WOODLAND CA 95695 | 0.8 mile away
Cottonwood Health Care
625 Cottonwood Street |
WOODLAND CA 95695 | 1.2 miles away
Stollwood Convalescent Hospital
135 Woodland Avenue |
WOODLAND CA 95695 | 1.3 miles away
University Retirement Community At Davis
1515 Shasta Drive |
DAVIS CA 95616 | 7.8 miles away
Courtyard Health Care Center
1850 East 8th Street |
DAVIS CA 95616 | 8.6 miles away
River Bend Nursing Center
2215 Oakmont Way |
WEST SACRAMENTO CA 95691 | 14.2 miles away
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