Alameda County Medical Center D/p Snf - San Leandro Nursing Home
General Information
UPDATEFederal Provider Number
56479
Provider Name
ALAMEDA COUNTY MEDICAL CENTER D/P SNF
Provider Address
15400 FOOTHILL BOULEVARD
SAN LEANDRO, CA 94578
SAN LEANDRO, CA 94578
Provider Phone Number
(510) 895-4279
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
109
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
ALAMEDA HEALTH SYSTEM
Date First Approved to Provide Medicare and Medicaid services
1976-11-01
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
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
4.12476
Reported LPN Staffing Hours per Resident per Day
1.37282
Reported RN Staffing Hours per Resident per Day
1.53058
Reported Licensed Staffing Hours per Resident per Day
2.90340
Reported Total Nurse Staffing Hours per Resident per Day
7.02816
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05534
Expected CNA Staffing Hours per Resident per Day
2.22751
Expected LPN Staffing Hours per Resident per Day
0.70861
Expected RN Staffing Hours per Resident per Day
1.06015
Expected Total Nurse Staffing Hours per Resident per Day
3.99627
Adjusted CNA Staffing Hours per Resident per Day
4.54360
Adjusted LPN Staffing Hours per Resident per Day
1.60800
Adjusted RN Staffing Hours per Resident per Day
1.07876
Adjusted Total Nurse Staffing Hours per Resident per Day
7.08906
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-06-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-03-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
42.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
8
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
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