Creekside Rehabilitation & Behavioral Health - Santa Rosa Nursing Home
General Information
UPDATEFederal Provider Number
56090
Provider Name
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH
Provider Address
850 SONOMA AVE
SANTA ROSA, CA 95404
SANTA ROSA, CA 95404
Provider Phone Number
(707) 544-7750
Provider SSA County
590
Provider County Name
Sonoma
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
181
Number of Residents in Certified Beds
174
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NADHAN INC.
Date First Approved to Provide Medicare and Medicaid services
1974-02-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.54195
Reported LPN Staffing Hours per Resident per Day
0.81580
Reported RN Staffing Hours per Resident per Day
0.87902
Reported Licensed Staffing Hours per Resident per Day
1.69483
Reported Total Nurse Staffing Hours per Resident per Day
4.23677
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06149
Expected CNA Staffing Hours per Resident per Day
2.13552
Expected LPN Staffing Hours per Resident per Day
0.55286
Expected RN Staffing Hours per Resident per Day
0.83710
Expected Total Nurse Staffing Hours per Resident per Day
3.52548
Adjusted CNA Staffing Hours per Resident per Day
2.92069
Adjusted LPN Staffing Hours per Resident per Day
1.22475
Adjusted RN Staffing Hours per Resident per Day
0.78462
Adjusted Total Nurse Staffing Hours per Resident per Day
4.84417
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
124
Cycle 1 Standard Survey Health Date
2015-03-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
124
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
52
Cycle 2 Standard Health Survey Date
2014-06-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2013-07-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
97.33300
Number of Facility Reported Incidents
0
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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