California Home For The Aged - Fresno Nursing Home
General Information
UPDATEFederal Provider Number
55955
Provider Name
CALIFORNIA HOME FOR THE AGED
Provider Address
6720 E. KINGS CANYON
FRESNO, CA 93727
FRESNO, CA 93727
Provider Phone Number
(559) 251-8414
Provider SSA County
90
Provider County Name
Fresno
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CALIFORNIA HOME FOR THE AGED, INC.
Date First Approved to Provide Medicare and Medicaid services
1969-05-23
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.73147
Reported LPN Staffing Hours per Resident per Day
0.81466
Reported RN Staffing Hours per Resident per Day
0.53017
Reported Licensed Staffing Hours per Resident per Day
1.34483
Reported Total Nurse Staffing Hours per Resident per Day
4.07630
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05905
Expected CNA Staffing Hours per Resident per Day
2.54351
Expected LPN Staffing Hours per Resident per Day
0.60276
Expected RN Staffing Hours per Resident per Day
0.90151
Expected Total Nurse Staffing Hours per Resident per Day
4.04778
Adjusted CNA Staffing Hours per Resident per Day
2.63503
Adjusted LPN Staffing Hours per Resident per Day
1.12179
Adjusted RN Staffing Hours per Resident per Day
0.43942
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05930
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-12-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
26.00000
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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