Avalon Care Center-chowchilla, Llc - Chowchilla Nursing Home

General Information

UPDATE
Federal Provider Number
55047
Provider Name
AVALON CARE CENTER-CHOWCHILLA, LLC
Provider Address
1010 VENTURA AVENUE
CHOWCHILLA, CA 93610
Provider Phone Number
(559) 665-4826
Provider SSA County
300
Provider County Name
Madera
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVALON CARE CENTER-CHOWCHILLA, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
2.57857
Reported LPN Staffing Hours per Resident per Day
0.68750
Reported RN Staffing Hours per Resident per Day
0.41786
Reported Licensed Staffing Hours per Resident per Day
1.10536
Reported Total Nurse Staffing Hours per Resident per Day
3.68393
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02411
Expected CNA Staffing Hours per Resident per Day
2.64330
Expected LPN Staffing Hours per Resident per Day
0.66996
Expected RN Staffing Hours per Resident per Day
1.04451
Expected Total Nurse Staffing Hours per Resident per Day
4.35777
Adjusted CNA Staffing Hours per Resident per Day
2.39361
Adjusted LPN Staffing Hours per Resident per Day
0.85173
Adjusted RN Staffing Hours per Resident per Day
0.29892
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40760
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-12-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
3
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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