Camden Convalescent Hospital - Campbell Nursing Home

General Information

UPDATE
Federal Provider Number
555838
Provider Name
CAMDEN CONVALESCENT HOSPITAL
Provider Address
1331 CAMDEN AVENUE
CAMPBELL, CA 95008
Provider Phone Number
(408) 377-4030
Provider SSA County
530
Provider County Name
Santa Clara
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
A & C HEALTH CARE SERVICES, INC
Date First Approved to Provide Medicare and Medicaid services
2006-11-17
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
2
Health Inspection Rating Footnote
QM Rating
2
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
2.69151
Reported LPN Staffing Hours per Resident per Day
0.77925
Reported RN Staffing Hours per Resident per Day
0.50189
Reported Licensed Staffing Hours per Resident per Day
1.28113
Reported Total Nurse Staffing Hours per Resident per Day
3.97265
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00849
Expected CNA Staffing Hours per Resident per Day
2.55762
Expected LPN Staffing Hours per Resident per Day
0.53076
Expected RN Staffing Hours per Resident per Day
0.82994
Expected Total Nurse Staffing Hours per Resident per Day
3.91832
Adjusted CNA Staffing Hours per Resident per Day
2.58215
Adjusted LPN Staffing Hours per Resident per Day
1.21859
Adjusted RN Staffing Hours per Resident per Day
0.45186
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08679
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-08-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-09-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-11-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
66.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
6
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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