Applewood Care Center - Sacramento Nursing Home
General Information
UPDATEFederal Provider Number
55296
Provider Name
APPLEWOOD CARE CENTER
Provider Address
1090 RIO LANE
SACRAMENTO, CA 95822
SACRAMENTO, CA 95822
Provider Phone Number
(916) 446-2506
Provider SSA County
440
Provider County Name
Sacramento
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIVERSIDE CONVALESCENT HOSPITAL, INC
Date First Approved to Provide Medicare and Medicaid services
1969-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.37159
Reported LPN Staffing Hours per Resident per Day
0.89773
Reported RN Staffing Hours per Resident per Day
1.04886
Reported Licensed Staffing Hours per Resident per Day
1.94659
Reported Total Nurse Staffing Hours per Resident per Day
4.31818
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02273
Expected CNA Staffing Hours per Resident per Day
2.22901
Expected LPN Staffing Hours per Resident per Day
0.61063
Expected RN Staffing Hours per Resident per Day
0.90907
Expected Total Nurse Staffing Hours per Resident per Day
3.74871
Adjusted CNA Staffing Hours per Resident per Day
2.61066
Adjusted LPN Staffing Hours per Resident per Day
1.22023
Adjusted RN Staffing Hours per Resident per Day
0.86210
Adjusted Total Nurse Staffing Hours per Resident per Day
4.64324
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-09-12
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-10-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
9
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
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