Avalon Health Care-madera - Madera Nursing Home
General Information
UPDATEFederal Provider Number
55191
Provider Name
AVALON HEALTH CARE-MADERA
Provider Address
1700 HOWARD ROAD
MADERA, CA 93637
MADERA, CA 93637
Provider Phone Number
(559) 673-9278
Provider SSA County
300
Provider County Name
Madera
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVALON CARE CENTER MADERA, LLC
Date First Approved to Provide Medicare and Medicaid services
1971-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
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
2.36333
Reported LPN Staffing Hours per Resident per Day
0.45917
Reported RN Staffing Hours per Resident per Day
0.64167
Reported Licensed Staffing Hours per Resident per Day
1.10083
Reported Total Nurse Staffing Hours per Resident per Day
3.46417
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09500
Expected CNA Staffing Hours per Resident per Day
2.60471
Expected LPN Staffing Hours per Resident per Day
0.65635
Expected RN Staffing Hours per Resident per Day
0.96587
Expected Total Nurse Staffing Hours per Resident per Day
4.22694
Adjusted CNA Staffing Hours per Resident per Day
2.22631
Adjusted LPN Staffing Hours per Resident per Day
0.58065
Adjusted RN Staffing Hours per Resident per Day
0.49640
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30351
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-03-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-03-27
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-04-02
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
9.33300
Number of Facility Reported Incidents
7
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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