Bellaken Skilled Nursing Ctr - Oakland Nursing Home
General Information
UPDATEFederal Provider Number
555767
Provider Name
BELLAKEN SKILLED NURSING CTR
Provider Address
2780 26TH AVENUE
OAKLAND, CA 94601
OAKLAND, CA 94601
Provider Phone Number
(510) 536-1838
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
61
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BELLAKEN HEALTH GROUP, INC.
Date First Approved to Provide Medicare and Medicaid services
2001-01-18
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
5
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
3.03279
Reported LPN Staffing Hours per Resident per Day
0.89426
Reported RN Staffing Hours per Resident per Day
1.52541
Reported Licensed Staffing Hours per Resident per Day
2.41967
Reported Total Nurse Staffing Hours per Resident per Day
5.45246
Reported Physical Therapist Staffing Hours per Resident Per Day
0.43115
Expected CNA Staffing Hours per Resident per Day
2.57700
Expected LPN Staffing Hours per Resident per Day
0.77667
Expected RN Staffing Hours per Resident per Day
1.21435
Expected Total Nurse Staffing Hours per Resident per Day
4.56803
Adjusted CNA Staffing Hours per Resident per Day
2.88768
Adjusted LPN Staffing Hours per Resident per Day
0.95566
Adjusted RN Staffing Hours per Resident per Day
0.93860
Adjusted Total Nurse Staffing Hours per Resident per Day
4.81134
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-28
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-06-01
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
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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