Chaparral House - Berkeley Nursing Home
General Information
UPDATEFederal Provider Number
555872
Provider Name
CHAPARRAL HOUSE
Provider Address
1309 ALLSTON WAY
BERKELEY, CA 94702
BERKELEY, CA 94702
Provider Phone Number
5108488774
Provider SSA County
0
Provider County Name
Alameda
Ownership Type
Non profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHAPARRAL FOUNDATION
Date First Approved to Provide Medicare and Medicaid services
2011-07-14
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.87625
Reported LPN Staffing Hours per Resident per Day
0.93750
Reported RN Staffing Hours per Resident per Day
0.71750
Reported Licensed Staffing Hours per Resident per Day
1.65500
Reported Total Nurse Staffing Hours per Resident per Day
4.53125
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09875
Expected CNA Staffing Hours per Resident per Day
2.54566
Expected LPN Staffing Hours per Resident per Day
0.61032
Expected RN Staffing Hours per Resident per Day
0.93178
Expected Total Nurse Staffing Hours per Resident per Day
4.08776
Adjusted CNA Staffing Hours per Resident per Day
2.77235
Adjusted LPN Staffing Hours per Resident per Day
1.27494
Adjusted RN Staffing Hours per Resident per Day
0.57537
Adjusted Total Nurse Staffing Hours per Resident per Day
4.46822
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-04-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-02-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-08-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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