Central Valley Specialty Hospital - Snf - Modesto Nursing Home
General Information
UPDATEFederal Provider Number
555882
Provider Name
CENTRAL VALLEY SPECIALTY HOSPITAL - SNF
Provider Address
730 17TH STREET
MODESTO, CA 95354
MODESTO, CA 95354
Provider Phone Number
2092487700
Provider SSA County
600
Provider County Name
Stanislaus
Ownership Type
For profit - Corporation
Number of Certified Beds
15
Number of Residents in Certified Beds
15
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
CENTRAL VALLEY SPECIALTY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2013-11-25
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
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
3.20000
Reported LPN Staffing Hours per Resident per Day
2.40000
Reported RN Staffing Hours per Resident per Day
1.86333
Reported Licensed Staffing Hours per Resident per Day
4.26333
Reported Total Nurse Staffing Hours per Resident per Day
7.46333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09667
Expected CNA Staffing Hours per Resident per Day
2.80842
Expected LPN Staffing Hours per Resident per Day
1.40347
Expected RN Staffing Hours per Resident per Day
1.92163
Expected Total Nurse Staffing Hours per Resident per Day
6.13352
Adjusted CNA Staffing Hours per Resident per Day
2.79582
Adjusted LPN Staffing Hours per Resident per Day
1.41934
Adjusted RN Staffing Hours per Resident per Day
0.72453
Adjusted Total Nurse Staffing Hours per Resident per Day
4.90484
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-10-31
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-08
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
-0001-11-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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
Nursiong Homes Nearby
Acacia Park Nursing & Rehab Center
1611 Scenic Drive |
MODESTO CA 95355 | 1.3 miles away
Modesto Post Acute Center
159 E. Orangeburg Avenue |
MODESTO CA 95350 | 1.4 miles away
Avalon Care Center - Modesto
515 East Orangeburg Avenue |
MODESTO CA 95350 | 1.5 miles away
Casa De Modesto
1745 Eldena Way |
MODESTO CA 95350 | 1.8 miles away
Garden City Healthcare Center
1310 West Granger |
MODESTO CA 95350 | 2.1 miles away
Hy-lond Health Care Center - Modesto
1900 Coffee Road |
MODESTO CA 95355 | 2.1 miles away
Crestwood Manor - 112
1400 Celeste Dr. |
MODESTO CA 95355 | 2.2 miles away
Evergreen Nursing & Rehabilitation Care Center
2030 Evergreen Avenue |
MODESTO CA 95350 | 2.6 miles away
Ha-le Aloha Convalescent Hospital
1711 Richland Avenue |
CERES CA 95307 | 3 miles away
English Oaks Conv & Rehab Hospital
2633 West Rumble Rd |
MODESTO CA 95350 | 4 miles away
Vintage Faire Nursing & Rehab
3620 B Dale Rd. |
MODESTO CA 95356 | 4.6 miles away
Riverbank Nursing Center
2649 West Topeka Avenue |
RIVERBANK CA 95367 | 6.9 miles away
Oak Valley Care Center D/p Snf
275 South Oak Avenue |
OAKDALE CA 95361 | 10.7 miles away
Covenant Village Care Center
2125 North Olive Avenue |
TURLOCK CA 95382 | 12.2 miles away
Turlock Nursing & Rehabilitation Center
1111 E Tuolumne Road |
TURLOCK CA 95380 | 12.2 miles away
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