Castro Valley Healthcare And Rehabilitation Center - Castro Valley Nursing Home
General Information
UPDATEFederal Provider Number
55239
Provider Name
CASTRO VALLEY HEALTHCARE AND REHABILITATION CENTER
Provider Address
20259 LAKE CHABOT ROAD
CASTRO VALLEY, CA 94546
CASTRO VALLEY, CA 94546
Provider Phone Number
(510) 351-3700
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
91
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIFEHOUSE CASTRO VALLEY OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1972-09-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.28056
Reported LPN Staffing Hours per Resident per Day
0.36875
Reported RN Staffing Hours per Resident per Day
0.35486
Reported Licensed Staffing Hours per Resident per Day
0.72361
Reported Total Nurse Staffing Hours per Resident per Day
3.00417
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08681
Expected CNA Staffing Hours per Resident per Day
2.40331
Expected LPN Staffing Hours per Resident per Day
0.63319
Expected RN Staffing Hours per Resident per Day
0.97810
Expected Total Nurse Staffing Hours per Resident per Day
4.01460
Adjusted CNA Staffing Hours per Resident per Day
2.32838
Adjusted LPN Staffing Hours per Resident per Day
0.48337
Adjusted RN Staffing Hours per Resident per Day
0.27109
Adjusted Total Nurse Staffing Hours per Resident per Day
3.01637
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
128
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
128
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-05-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
93.33300
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
16
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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