Avalon Care Center - Sonora - Sonora Nursing Home

General Information

UPDATE
Federal Provider Number
555736
Provider Name
AVALON CARE CENTER - SONORA
Provider Address
19929 GREENLEY ROAD
SONORA, CA 95370
Provider Phone Number
(209) 533-2500
Provider SSA County
650
Provider County Name
Tuolumne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
210
Number of Residents in Certified Beds
179
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVALON CARE CENTER-SONORA, LLC
Date First Approved to Provide Medicare and Medicaid services
1999-06-15
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.60391
Reported LPN Staffing Hours per Resident per Day
0.55419
Reported RN Staffing Hours per Resident per Day
0.88687
Reported Licensed Staffing Hours per Resident per Day
1.44106
Reported Total Nurse Staffing Hours per Resident per Day
4.04497
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04385
Expected CNA Staffing Hours per Resident per Day
2.35093
Expected LPN Staffing Hours per Resident per Day
0.57912
Expected RN Staffing Hours per Resident per Day
0.95150
Expected Total Nurse Staffing Hours per Resident per Day
3.88155
Adjusted CNA Staffing Hours per Resident per Day
2.71774
Adjusted LPN Staffing Hours per Resident per Day
0.79427
Adjusted RN Staffing Hours per Resident per Day
0.69644
Adjusted Total Nurse Staffing Hours per Resident per Day
4.20061
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
104
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
104
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-11-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
23
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
180
Cycle 3 Standard Health Survey Date
2012-12-07
Cycle 3 Number of Health Revisits
3
Cycle 3 Health Revisit Score
126
Cycle 3 Total Health Score
306
Total Weighted Health Survey Score
132.33300
Number of Facility Reported Incidents
17
Number of Substantiated Complaints
6
Number of Fines
2
Total Amount of Fines in Dollars
45700
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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