Cottonwood Health Care - Woodland Nursing Home
General Information
UPDATEFederal Provider Number
56098
Provider Name
COTTONWOOD HEALTH CARE
Provider Address
625 COTTONWOOD STREET
WOODLAND, CA 95695
WOODLAND, CA 95695
Provider Phone Number
(530) 662-9193
Provider SSA County
670
Provider County Name
Yolo
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COTTONWOOD HC INC
Date First Approved to Provide Medicare and Medicaid services
1969-09-15
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.57717
Reported LPN Staffing Hours per Resident per Day
0.42391
Reported RN Staffing Hours per Resident per Day
2.18098
Reported Licensed Staffing Hours per Resident per Day
2.60489
Reported Total Nurse Staffing Hours per Resident per Day
5.18206
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15815
Expected CNA Staffing Hours per Resident per Day
2.63129
Expected LPN Staffing Hours per Resident per Day
0.59741
Expected RN Staffing Hours per Resident per Day
0.95716
Expected Total Nurse Staffing Hours per Resident per Day
4.18586
Adjusted CNA Staffing Hours per Resident per Day
2.40323
Adjusted LPN Staffing Hours per Resident per Day
0.58895
Adjusted RN Staffing Hours per Resident per Day
1.70257
Adjusted Total Nurse Staffing Hours per Resident per Day
4.99022
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-06-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
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
20
Total Weighted Health Survey Score
56.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
6
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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