Country Crest Post Acute - Oroville Nursing Home
General Information
UPDATEFederal Provider Number
555802
Provider Name
COUNTRY CREST POST ACUTE
Provider Address
50 CONCORDIA LANE
OROVILLE, CA 95966
OROVILLE, CA 95966
Provider Phone Number
(530) 533-7857
Provider SSA County
30
Provider County Name
Butte
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTRY CREST LLC
Date First Approved to Provide Medicare and Medicaid services
2003-04-28
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.83621
Reported LPN Staffing Hours per Resident per Day
1.38534
Reported RN Staffing Hours per Resident per Day
0.47931
Reported Licensed Staffing Hours per Resident per Day
1.86466
Reported Total Nurse Staffing Hours per Resident per Day
4.70086
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23966
Expected CNA Staffing Hours per Resident per Day
2.46818
Expected LPN Staffing Hours per Resident per Day
0.62571
Expected RN Staffing Hours per Resident per Day
1.15797
Expected Total Nurse Staffing Hours per Resident per Day
4.25186
Adjusted CNA Staffing Hours per Resident per Day
2.81957
Adjusted LPN Staffing Hours per Resident per Day
1.83766
Adjusted RN Staffing Hours per Resident per Day
0.30928
Adjusted Total Nurse Staffing Hours per Resident per Day
4.45657
Cycle 1 Total Number of Health Deficiencies
28
Cycle 1 Number of Standard Health Deficiencies
25
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
168
Cycle 1 Standard Survey Health Date
2015-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
168
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-12-06
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
15
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
122.66700
Number of Facility Reported Incidents
5
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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