Bancroft Convalescent Hospital - San Leandro Nursing Home
General Information
UPDATEFederal Provider Number
55107
Provider Name
BANCROFT CONVALESCENT HOSPITAL
Provider Address
1475 BANCROFT AVENUE
SAN LEANDRO, CA 94577
SAN LEANDRO, CA 94577
Provider Phone Number
(510) 483-1680
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
39
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BANCROFT CONVALESCENT HOSPITAL, INC.
Date First Approved to Provide Medicare and Medicaid services
1977-09-01
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
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.15294
Reported LPN Staffing Hours per Resident per Day
1.17647
Reported RN Staffing Hours per Resident per Day
0.93824
Reported Licensed Staffing Hours per Resident per Day
2.11471
Reported Total Nurse Staffing Hours per Resident per Day
5.26765
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02941
Expected CNA Staffing Hours per Resident per Day
2.52543
Expected LPN Staffing Hours per Resident per Day
0.56189
Expected RN Staffing Hours per Resident per Day
0.87654
Expected Total Nurse Staffing Hours per Resident per Day
3.96386
Adjusted CNA Staffing Hours per Resident per Day
3.06338
Adjusted LPN Staffing Hours per Resident per Day
1.73783
Adjusted RN Staffing Hours per Resident per Day
0.79980
Adjusted Total Nurse Staffing Hours per Resident per Day
5.35674
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
0
Cycle 1 Standard Survey Health Date
2014-05-30
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
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-02-14
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-12-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
2.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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