Cupertino Healthcare & Wellness Center - Cupertino Nursing Home
General Information
UPDATEFederal Provider Number
55407
Provider Name
CUPERTINO HEALTHCARE & WELLNESS CENTER
Provider Address
22590 VOSS AVENUE
CUPERTINO, CA 95014
CUPERTINO, CA 95014
Provider Phone Number
(408) 253-9034
Provider SSA County
530
Provider County Name
Santa Clara
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
170
Number of Residents in Certified Beds
165
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOLNUS SEVEN, LLC
Date First Approved to Provide Medicare and Medicaid services
1970-06-20
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
2
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
2.71636
Reported LPN Staffing Hours per Resident per Day
0.62152
Reported RN Staffing Hours per Resident per Day
0.74152
Reported Licensed Staffing Hours per Resident per Day
1.36303
Reported Total Nurse Staffing Hours per Resident per Day
4.07940
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13848
Expected CNA Staffing Hours per Resident per Day
2.33175
Expected LPN Staffing Hours per Resident per Day
0.64333
Expected RN Staffing Hours per Resident per Day
1.04272
Expected Total Nurse Staffing Hours per Resident per Day
4.01781
Adjusted CNA Staffing Hours per Resident per Day
2.85842
Adjusted LPN Staffing Hours per Resident per Day
0.80186
Adjusted RN Staffing Hours per Resident per Day
0.53136
Adjusted Total Nurse Staffing Hours per Resident per Day
4.09269
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-11-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-12-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
68.00000
Number of Facility Reported Incidents
0
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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