Crestwood Treatment Center - Fremont Nursing Home

General Information

UPDATE
Federal Provider Number
05A408
Provider Name
CRESTWOOD TREATMENT CENTER
Provider Address
2171 MOWRY AVENUE
FREMONT, CA 94538
Provider Phone Number
5107938383
Provider SSA County
0
Provider County Name
Alameda
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
62
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1998-07-01
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
4
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
3.16532
Reported LPN Staffing Hours per Resident per Day
0.78871
Reported RN Staffing Hours per Resident per Day
0.83468
Reported Licensed Staffing Hours per Resident per Day
1.62339
Reported Total Nurse Staffing Hours per Resident per Day
4.78871
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
1.61255
Expected LPN Staffing Hours per Resident per Day
0.47331
Expected RN Staffing Hours per Resident per Day
0.59417
Expected Total Nurse Staffing Hours per Resident per Day
2.68003
Adjusted CNA Staffing Hours per Resident per Day
4.81643
Adjusted LPN Staffing Hours per Resident per Day
1.38310
Adjusted RN Staffing Hours per Resident per Day
1.04966
Adjusted Total Nurse Staffing Hours per Resident per Day
7.20247
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
8
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
91
Cycle 2 Standard Health Survey Date
2013-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-11-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
37.00000
Number of Facility Reported Incidents
2
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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