Covenant Village Care Center - Turlock Nursing Home
General Information
UPDATEFederal Provider Number
555749
Provider Name
COVENANT VILLAGE CARE CENTER
Provider Address
2125 NORTH OLIVE AVENUE
TURLOCK, CA 95382
TURLOCK, CA 95382
Provider Phone Number
(209) 664-5300
Provider SSA County
600
Provider County Name
Stanislaus
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
50
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT RETIREMENT COMMUNITIES WEST
Date First Approved to Provide Medicare and Medicaid services
1999-11-30
Continuing Care Retirement Community
Y
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
2.76800
Reported LPN Staffing Hours per Resident per Day
0.95500
Reported RN Staffing Hours per Resident per Day
0.74400
Reported Licensed Staffing Hours per Resident per Day
1.69900
Reported Total Nurse Staffing Hours per Resident per Day
4.46700
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.75419
Expected LPN Staffing Hours per Resident per Day
0.55037
Expected RN Staffing Hours per Resident per Day
0.81476
Expected Total Nurse Staffing Hours per Resident per Day
4.11932
Adjusted CNA Staffing Hours per Resident per Day
2.46600
Adjusted LPN Staffing Hours per Resident per Day
1.44020
Adjusted RN Staffing Hours per Resident per Day
0.68231
Adjusted Total Nurse Staffing Hours per Resident per Day
4.37112
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-03-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-03-14
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
3.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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