Capital Transitional Care - Sacramento Nursing Home
General Information
UPDATEFederal Provider Number
555442
Provider Name
CAPITAL TRANSITIONAL CARE
Provider Address
6821 24TH STREET
SACRAMENTO, CA 95822
SACRAMENTO, CA 95822
Provider Phone Number
(916) 391-6011
Provider SSA County
440
Provider County Name
Sacramento
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
121
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT CARE CALIFORNIA, LLC
Date First Approved to Provide Medicare and Medicaid services
1990-12-13
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.33381
Reported LPN Staffing Hours per Resident per Day
0.99810
Reported RN Staffing Hours per Resident per Day
1.25381
Reported Licensed Staffing Hours per Resident per Day
2.25190
Reported Total Nurse Staffing Hours per Resident per Day
4.58572
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05048
Expected CNA Staffing Hours per Resident per Day
2.58482
Expected LPN Staffing Hours per Resident per Day
0.80727
Expected RN Staffing Hours per Resident per Day
1.27098
Expected Total Nurse Staffing Hours per Resident per Day
4.66308
Adjusted CNA Staffing Hours per Resident per Day
2.21542
Adjusted LPN Staffing Hours per Resident per Day
1.02620
Adjusted RN Staffing Hours per Resident per Day
0.73710
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96403
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
17
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-11-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
85.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
22
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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