Courtyard Health Care Center - Davis Nursing Home
General Information
UPDATEFederal Provider Number
55922
Provider Name
COURTYARD HEALTH CARE CENTER
Provider Address
1850 EAST 8TH STREET
DAVIS, CA 95616
DAVIS, CA 95616
Provider Phone Number
(530) 756-1800
Provider SSA County
670
Provider County Name
Yolo
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
112
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT CARE COURTYARD, LLC
Date First Approved to Provide Medicare and Medicaid services
1972-01-01
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
5
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
2.60971
Reported LPN Staffing Hours per Resident per Day
0.50777
Reported RN Staffing Hours per Resident per Day
0.89175
Reported Licensed Staffing Hours per Resident per Day
1.39951
Reported Total Nurse Staffing Hours per Resident per Day
4.00923
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05631
Expected CNA Staffing Hours per Resident per Day
2.68066
Expected LPN Staffing Hours per Resident per Day
0.63571
Expected RN Staffing Hours per Resident per Day
0.98354
Expected Total Nurse Staffing Hours per Resident per Day
4.29992
Adjusted CNA Staffing Hours per Resident per Day
2.38875
Adjusted LPN Staffing Hours per Resident per Day
0.66296
Adjusted RN Staffing Hours per Resident per Day
0.67747
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75840
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-01-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-02-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-02-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
18.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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