Barton Memorial Skilled Nursing - South Lake Tahoe Nursing Home
General Information
UPDATEFederal Provider Number
555698
Provider Name
BARTON MEMORIAL SKILLED NURSING
Provider Address
2170 SOUTH AVENUE
SOUTH LAKE TAHOE, CA 96150
SOUTH LAKE TAHOE, CA 96150
Provider Phone Number
5305435885
Provider SSA County
80
Provider County Name
El Dorado
Ownership Type
Non profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
BARTON HEALTHCARE SYSTEM
Date First Approved to Provide Medicare and Medicaid services
1997-04-04
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
4
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
2.38043
Reported LPN Staffing Hours per Resident per Day
0.46630
Reported RN Staffing Hours per Resident per Day
1.01087
Reported Licensed Staffing Hours per Resident per Day
1.47717
Reported Total Nurse Staffing Hours per Resident per Day
3.85760
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04674
Expected CNA Staffing Hours per Resident per Day
2.42135
Expected LPN Staffing Hours per Resident per Day
0.64699
Expected RN Staffing Hours per Resident per Day
0.88334
Expected Total Nurse Staffing Hours per Resident per Day
3.95169
Adjusted CNA Staffing Hours per Resident per Day
2.41223
Adjusted LPN Staffing Hours per Resident per Day
0.59820
Adjusted RN Staffing Hours per Resident per Day
0.85507
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93493
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2013-06-07
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-06-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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