Bethany Home Society San Joaquin County - Ripon Nursing Home
General Information
UPDATEFederal Provider Number
55662
Provider Name
BETHANY HOME SOCIETY SAN JOAQUIN COUNTY
Provider Address
930 WEST MAIN STREET
RIPON, CA 95366
RIPON, CA 95366
Provider Phone Number
(209) 599-4221
Provider SSA County
490
Provider County Name
San Joaquin
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BETHANY HOME SOCIETY OF SAN JOAQUIN COUNTY, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-02-25
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.03780
Reported LPN Staffing Hours per Resident per Day
0.89817
Reported RN Staffing Hours per Resident per Day
0.38963
Reported Licensed Staffing Hours per Resident per Day
1.28780
Reported Total Nurse Staffing Hours per Resident per Day
4.32560
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08780
Expected CNA Staffing Hours per Resident per Day
2.29897
Expected LPN Staffing Hours per Resident per Day
0.52264
Expected RN Staffing Hours per Resident per Day
0.82497
Expected Total Nurse Staffing Hours per Resident per Day
3.64658
Adjusted CNA Staffing Hours per Resident per Day
3.24225
Adjusted LPN Staffing Hours per Resident per Day
1.42637
Adjusted RN Staffing Hours per Resident per Day
0.35290
Adjusted Total Nurse Staffing Hours per Resident per Day
4.78148
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
16
Cycle 3 Standard Health Survey Date
2013-03-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
0
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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