Delta Rehabilitation And Care Center - Lodi Nursing Home
General Information
UPDATEFederal Provider Number
555049
Provider Name
DELTA REHABILITATION AND CARE CENTER
Provider Address
1334 S. HAM LANE
LODI, CA 95242
LODI, CA 95242
Provider Phone Number
(209) 334-3825
Provider SSA County
490
Provider County Name
San Joaquin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DELTA SKILLED NURSING CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1977-02-14
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
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.24758
Reported LPN Staffing Hours per Resident per Day
1.11129
Reported RN Staffing Hours per Resident per Day
0.48145
Reported Licensed Staffing Hours per Resident per Day
1.59274
Reported Total Nurse Staffing Hours per Resident per Day
3.84032
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08306
Expected CNA Staffing Hours per Resident per Day
2.39829
Expected LPN Staffing Hours per Resident per Day
0.64347
Expected RN Staffing Hours per Resident per Day
1.15990
Expected Total Nurse Staffing Hours per Resident per Day
4.20166
Adjusted CNA Staffing Hours per Resident per Day
2.29951
Adjusted LPN Staffing Hours per Resident per Day
1.43343
Adjusted RN Staffing Hours per Resident per Day
0.31015
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68425
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-07-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
3
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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