All Saints Subacute And Rehabilitation Center - San Leandro Nursing Home
General Information
UPDATEFederal Provider Number
555809
Provider Name
ALL SAINTS SUBACUTE AND REHABILITATION CENTER
Provider Address
1652 MONO AVENUE
SAN LEANDRO, CA 94578
SAN LEANDRO, CA 94578
Provider Phone Number
(510) 481-3200
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
86
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TY FIVE STAR CORPORATION
Date First Approved to Provide Medicare and Medicaid services
2004-09-09
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.87121
Reported LPN Staffing Hours per Resident per Day
1.45530
Reported RN Staffing Hours per Resident per Day
1.84697
Reported Licensed Staffing Hours per Resident per Day
3.30227
Reported Total Nurse Staffing Hours per Resident per Day
6.17348
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00682
Expected CNA Staffing Hours per Resident per Day
2.73162
Expected LPN Staffing Hours per Resident per Day
1.18797
Expected RN Staffing Hours per Resident per Day
1.56085
Expected Total Nurse Staffing Hours per Resident per Day
5.48044
Adjusted CNA Staffing Hours per Resident per Day
2.57909
Adjusted LPN Staffing Hours per Resident per Day
1.01678
Adjusted RN Staffing Hours per Resident per Day
0.88417
Adjusted Total Nurse Staffing Hours per Resident per Day
4.54064
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
132
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
132
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-08-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-07-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
92.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
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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