Alderson Convalescent Hospital - Woodland Nursing Home
General Information
UPDATEFederal Provider Number
55438
Provider Name
ALDERSON CONVALESCENT HOSPITAL
Provider Address
124 WALNUT STREET
WOODLAND, CA 95695
WOODLAND, CA 95695
Provider Phone Number
(530) 662-9161
Provider SSA County
670
Provider County Name
Yolo
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
126
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNITED HEALTH SYSTEMS INC.
Date First Approved to Provide Medicare and Medicaid services
1978-06-01
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
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
3.42698
Reported LPN Staffing Hours per Resident per Day
0.70278
Reported RN Staffing Hours per Resident per Day
0.68929
Reported Licensed Staffing Hours per Resident per Day
1.39206
Reported Total Nurse Staffing Hours per Resident per Day
4.81905
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09286
Expected CNA Staffing Hours per Resident per Day
2.43933
Expected LPN Staffing Hours per Resident per Day
0.60344
Expected RN Staffing Hours per Resident per Day
0.90551
Expected Total Nurse Staffing Hours per Resident per Day
3.94828
Adjusted CNA Staffing Hours per Resident per Day
3.44717
Adjusted LPN Staffing Hours per Resident per Day
0.96664
Adjusted RN Staffing Hours per Resident per Day
0.56878
Adjusted Total Nurse Staffing Hours per Resident per Day
4.91989
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
40
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
40
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2013-02-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
3
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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