Crown Bay Nursing And Rehabilitation Center - Alameda Nursing Home
General Information
UPDATEFederal Provider Number
56103
Provider Name
CROWN BAY NURSING AND REHABILITATION CENTER
Provider Address
508 WESTLINE DRIVE
ALAMEDA, CA 94501
ALAMEDA, CA 94501
Provider Phone Number
(510) 521-5765
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
151
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
G & R ALAMEDA HEALTHCARE SERVICES, LLC
Date First Approved to Provide Medicare and Medicaid services
1974-08-01
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.68151
Reported LPN Staffing Hours per Resident per Day
0.35420
Reported RN Staffing Hours per Resident per Day
0.97185
Reported Licensed Staffing Hours per Resident per Day
1.32605
Reported Total Nurse Staffing Hours per Resident per Day
4.00756
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11765
Expected CNA Staffing Hours per Resident per Day
2.45257
Expected LPN Staffing Hours per Resident per Day
0.65436
Expected RN Staffing Hours per Resident per Day
0.99601
Expected Total Nurse Staffing Hours per Resident per Day
4.10295
Adjusted CNA Staffing Hours per Resident per Day
2.68274
Adjusted LPN Staffing Hours per Resident per Day
0.44927
Adjusted RN Staffing Hours per Resident per Day
0.72907
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93718
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-05-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
59.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
11
Number of Fines
1
Total Amount of Fines in Dollars
19600
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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