Ashby Care Center - Berkeley Nursing Home
General Information
UPDATEFederal Provider Number
555466
Provider Name
ASHBY CARE CENTER
Provider Address
2270 ASHBY AVE.
BERKELEY, CA 94705
BERKELEY, CA 94705
Provider Phone Number
(510) 841-9494
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
31
Number of Residents in Certified Beds
28
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MMS QUALITY NURSING SERVICES, INC.
Date First Approved to Provide Medicare and Medicaid services
1991-05-13
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
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.38750
Reported LPN Staffing Hours per Resident per Day
0.81607
Reported RN Staffing Hours per Resident per Day
0.30536
Reported Licensed Staffing Hours per Resident per Day
1.12143
Reported Total Nurse Staffing Hours per Resident per Day
2.50893
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.49691
Expected LPN Staffing Hours per Resident per Day
0.52377
Expected RN Staffing Hours per Resident per Day
0.68623
Expected Total Nurse Staffing Hours per Resident per Day
3.70691
Adjusted CNA Staffing Hours per Resident per Day
1.36349
Adjusted LPN Staffing Hours per Resident per Day
1.29321
Adjusted RN Staffing Hours per Resident per Day
0.33249
Adjusted Total Nurse Staffing Hours per Resident per Day
2.72821
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-06-13
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-04-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-08-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
10
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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