Cedar Crest Nursing And Rehabilitation Center - Sunnyvale Nursing Home

General Information

UPDATE
Federal Provider Number
555790
Provider Name
CEDAR CREST NURSING AND REHABILITATION CENTER
Provider Address
797 E FREMONT AVENUE
SUNNYVALE, CA 94087
Provider Phone Number
(408) 738-4880
Provider SSA County
530
Provider County Name
Santa Clara
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GHC OF SUNNYVALE, LLC
Date First Approved to Provide Medicare and Medicaid services
2002-05-09
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.82048
Reported LPN Staffing Hours per Resident per Day
0.76807
Reported RN Staffing Hours per Resident per Day
0.90964
Reported Licensed Staffing Hours per Resident per Day
1.67771
Reported Total Nurse Staffing Hours per Resident per Day
4.49819
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14036
Expected CNA Staffing Hours per Resident per Day
2.47059
Expected LPN Staffing Hours per Resident per Day
0.67792
Expected RN Staffing Hours per Resident per Day
1.19776
Expected Total Nurse Staffing Hours per Resident per Day
4.34628
Adjusted CNA Staffing Hours per Resident per Day
2.80120
Adjusted LPN Staffing Hours per Resident per Day
0.94037
Adjusted RN Staffing Hours per Resident per Day
0.56746
Adjusted Total Nurse Staffing Hours per Resident per Day
4.17179
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-10-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
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
8
Cycle 2 Standard Health Survey Date
2013-10-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
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
8
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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