Antioch Convalescent Hospital - Antioch Nursing Home
General Information
UPDATEFederal Provider Number
56381
Provider Name
ANTIOCH CONVALESCENT HOSPITAL
Provider Address
1210 A STREET
ANTIOCH, CA 94509
ANTIOCH, CA 94509
Provider Phone Number
9257578787
Provider SSA County
60
Provider County Name
Contra Costa
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORCAL CARE CENTERS INC
Date First Approved to Provide Medicare and Medicaid services
1974-06-01
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.91364
Reported LPN Staffing Hours per Resident per Day
0.92045
Reported RN Staffing Hours per Resident per Day
0.58068
Reported Licensed Staffing Hours per Resident per Day
1.50114
Reported Total Nurse Staffing Hours per Resident per Day
4.41477
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04205
Expected CNA Staffing Hours per Resident per Day
2.38663
Expected LPN Staffing Hours per Resident per Day
0.62773
Expected RN Staffing Hours per Resident per Day
0.90096
Expected Total Nurse Staffing Hours per Resident per Day
3.91533
Adjusted CNA Staffing Hours per Resident per Day
2.99551
Adjusted LPN Staffing Hours per Resident per Day
1.21704
Adjusted RN Staffing Hours per Resident per Day
0.48158
Adjusted Total Nurse Staffing Hours per Resident per Day
4.54508
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-09-16
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
11
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-08-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
1
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
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