Country Oaks Care Center - Santa Maria Nursing Home
General Information
UPDATEFederal Provider Number
55826
Provider Name
COUNTRY OAKS CARE CENTER
Provider Address
830 E CHAPEL ST
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
Provider Phone Number
(805) 922-6657
Provider SSA County
520
Provider County Name
Santa Barbara
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTRY OAKS CARE CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1968-03-22
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.44286
Reported LPN Staffing Hours per Resident per Day
0.93367
Reported RN Staffing Hours per Resident per Day
0.68776
Reported Licensed Staffing Hours per Resident per Day
1.62143
Reported Total Nurse Staffing Hours per Resident per Day
4.06429
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00306
Expected CNA Staffing Hours per Resident per Day
2.24777
Expected LPN Staffing Hours per Resident per Day
0.69330
Expected RN Staffing Hours per Resident per Day
1.25999
Expected Total Nurse Staffing Hours per Resident per Day
4.20106
Adjusted CNA Staffing Hours per Resident per Day
2.66667
Adjusted LPN Staffing Hours per Resident per Day
1.11776
Adjusted RN Staffing Hours per Resident per Day
0.40785
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89967
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
294
Cycle 1 Standard Survey Health Date
2015-03-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
294
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-04-17
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
165.00000
Number of Facility Reported Incidents
2
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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