Biggs Gridley Mem Hosp D/p Snf - Gridley Nursing Home

General Information

UPDATE
Federal Provider Number
555776
Provider Name
BIGGS GRIDLEY MEM HOSP D/P SNF
Provider Address
240 SPRUCE STREET
GRIDLEY, CA 95948
Provider Phone Number
5308465671
Provider SSA County
30
Provider County Name
Butte
Ownership Type
Non profit - Corporation
Number of Certified Beds
21
Number of Residents in Certified Beds
20
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2001-12-31
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.57500
Reported LPN Staffing Hours per Resident per Day
1.72000
Reported RN Staffing Hours per Resident per Day
0.68500
Reported Licensed Staffing Hours per Resident per Day
2.40500
Reported Total Nurse Staffing Hours per Resident per Day
4.98000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.46289
Expected LPN Staffing Hours per Resident per Day
0.53009
Expected RN Staffing Hours per Resident per Day
0.68904
Expected Total Nurse Staffing Hours per Resident per Day
3.68202
Adjusted CNA Staffing Hours per Resident per Day
2.56539
Adjusted LPN Staffing Hours per Resident per Day
2.69314
Adjusted RN Staffing Hours per Resident per Day
0.74282
Adjusted Total Nurse Staffing Hours per Resident per Day
5.45187
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
20
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-06-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2012-05-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
90.00000
Number of Facility Reported Incidents
4
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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