Alhambra Convalescent Hospital - Martinez Nursing Home
General Information
UPDATEFederal Provider Number
555292
Provider Name
ALHAMBRA CONVALESCENT HOSPITAL
Provider Address
331 ILENE STREET
MARTINEZ, CA 94553
MARTINEZ, CA 94553
Provider Phone Number
(925) 228-2020
Provider SSA County
60
Provider County Name
Contra Costa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
POSITIVE & VIGILANT HEALTHCARE INC
Date First Approved to Provide Medicare and Medicaid services
1987-12-08
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
3
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
2.79146
Reported LPN Staffing Hours per Resident per Day
0.70366
Reported RN Staffing Hours per Resident per Day
0.55488
Reported Licensed Staffing Hours per Resident per Day
1.25854
Reported Total Nurse Staffing Hours per Resident per Day
4.05000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00854
Expected CNA Staffing Hours per Resident per Day
2.34924
Expected LPN Staffing Hours per Resident per Day
0.55368
Expected RN Staffing Hours per Resident per Day
0.72525
Expected Total Nurse Staffing Hours per Resident per Day
3.62818
Adjusted CNA Staffing Hours per Resident per Day
2.91558
Adjusted LPN Staffing Hours per Resident per Day
1.05482
Adjusted RN Staffing Hours per Resident per Day
0.57167
Adjusted Total Nurse Staffing Hours per Resident per Day
4.49954
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
83
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
83
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-06-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-06-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
65.50000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
1625
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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