Bethesda Home - Hayward Nursing Home
General Information
UPDATEFederal Provider Number
56370
Provider Name
BETHESDA HOME
Provider Address
22427 MONTGOMERY ST.
HAYWARD, CA 94541
HAYWARD, CA 94541
Provider Phone Number
(510) 538-8300
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
40
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHRISTIAN RETIREMENT CENTER OF NORTHERN CALIFORNIA
Date First Approved to Provide Medicare and Medicaid services
1972-12-14
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
4
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
2.64487
Reported LPN Staffing Hours per Resident per Day
0.66923
Reported RN Staffing Hours per Resident per Day
0.32179
Reported Licensed Staffing Hours per Resident per Day
0.99103
Reported Total Nurse Staffing Hours per Resident per Day
3.63589
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01154
Expected CNA Staffing Hours per Resident per Day
2.55583
Expected LPN Staffing Hours per Resident per Day
0.55769
Expected RN Staffing Hours per Resident per Day
0.74164
Expected Total Nurse Staffing Hours per Resident per Day
3.85515
Adjusted CNA Staffing Hours per Resident per Day
2.53919
Adjusted LPN Staffing Hours per Resident per Day
0.99601
Adjusted RN Staffing Hours per Resident per Day
0.32420
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80164
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-01-24
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-12-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
22.00000
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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