Auburn Ravine Terrace - Auburn Nursing Home

General Information

UPDATE
Federal Provider Number
555645
Provider Name
AUBURN RAVINE TERRACE
Provider Address
750 AUBURN RAVINE ROAD
AUBURN, CA 95603
Provider Phone Number
(530) 823-6131
Provider SSA County
410
Provider County Name
Placer
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
60
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CONGREGATIONAL CHURCH RETIREMENT COMMUNITY
Date First Approved to Provide Medicare and Medicaid services
1995-11-01
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
4
QM Rating Footnote
Staffing Rating
3
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
2.36579
Reported LPN Staffing Hours per Resident per Day
0.67895
Reported RN Staffing Hours per Resident per Day
0.43333
Reported Licensed Staffing Hours per Resident per Day
1.11228
Reported Total Nurse Staffing Hours per Resident per Day
3.47807
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06053
Expected CNA Staffing Hours per Resident per Day
2.43622
Expected LPN Staffing Hours per Resident per Day
0.55347
Expected RN Staffing Hours per Resident per Day
0.76900
Expected Total Nurse Staffing Hours per Resident per Day
3.75869
Adjusted CNA Staffing Hours per Resident per Day
2.38277
Adjusted LPN Staffing Hours per Resident per Day
1.01817
Adjusted RN Staffing Hours per Resident per Day
0.42104
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72996
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-04-03
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-04-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2013-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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