Coalinga Regional Medical Ctr Dp/snf - Coalinga Nursing Home
General Information
UPDATEFederal Provider Number
555539
Provider Name
COALINGA REGIONAL MEDICAL CTR DP/SNF
Provider Address
1191 PHELPS AVE.
COALINGA, CA 93210
COALINGA, CA 93210
Provider Phone Number
(559) 935-6500
Provider SSA County
90
Provider County Name
Fresno
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
99
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1992-12-01
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
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.95321
Reported LPN Staffing Hours per Resident per Day
0.91923
Reported RN Staffing Hours per Resident per Day
0.57949
Reported Licensed Staffing Hours per Resident per Day
1.49872
Reported Total Nurse Staffing Hours per Resident per Day
4.45193
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01859
Expected CNA Staffing Hours per Resident per Day
2.22613
Expected LPN Staffing Hours per Resident per Day
0.58922
Expected RN Staffing Hours per Resident per Day
0.86126
Expected Total Nurse Staffing Hours per Resident per Day
3.67661
Adjusted CNA Staffing Hours per Resident per Day
3.25510
Adjusted LPN Staffing Hours per Resident per Day
1.29488
Adjusted RN Staffing Hours per Resident per Day
0.50275
Adjusted Total Nurse Staffing Hours per Resident per Day
4.88093
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-05-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-06-04
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-06-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
1
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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