Asbury Park Nursing & Rehabilitation Center - Sacramento Nursing Home
General Information
UPDATEFederal Provider Number
555673
Provider Name
ASBURY PARK NURSING & REHABILITATION CENTER
Provider Address
2257 FAIR OAKS BLVD.
SACRAMENTO, CA 95825
SACRAMENTO, CA 95825
Provider Phone Number
(916) 649-2000
Provider SSA County
440
Provider County Name
Sacramento
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
139
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JDL HEALTH CARE INC
Date First Approved to Provide Medicare and Medicaid services
1996-07-30
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
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
2.59727
Reported LPN Staffing Hours per Resident per Day
1.36364
Reported RN Staffing Hours per Resident per Day
1.74500
Reported Licensed Staffing Hours per Resident per Day
3.10864
Reported Total Nurse Staffing Hours per Resident per Day
5.70591
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16864
Expected CNA Staffing Hours per Resident per Day
2.35035
Expected LPN Staffing Hours per Resident per Day
0.56983
Expected RN Staffing Hours per Resident per Day
0.89340
Expected Total Nurse Staffing Hours per Resident per Day
3.81359
Adjusted CNA Staffing Hours per Resident per Day
2.71147
Adjusted LPN Staffing Hours per Resident per Day
1.98625
Adjusted RN Staffing Hours per Resident per Day
1.45943
Adjusted Total Nurse Staffing Hours per Resident per Day
6.03106
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-08-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
94.00000
Number of Facility Reported Incidents
9
Number of Substantiated Complaints
20
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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