Double Tree Post-acute Care Center - Sacramento Nursing Home

General Information

UPDATE
Federal Provider Number
56177
Provider Name
DOUBLE TREE POST-ACUTE CARE CENTER
Provider Address
7400 24TH STREET
SACRAMENTO, CA 95822
Provider Phone Number
(916) 422-4825
Provider SSA County
440
Provider County Name
Sacramento
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SACRAMENTO OPERATING COMPANY, LP
Date First Approved to Provide Medicare and Medicaid services
1977-08-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.02881
Reported LPN Staffing Hours per Resident per Day
0.57034
Reported RN Staffing Hours per Resident per Day
0.57966
Reported Licensed Staffing Hours per Resident per Day
1.15000
Reported Total Nurse Staffing Hours per Resident per Day
3.17881
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07627
Expected CNA Staffing Hours per Resident per Day
2.48661
Expected LPN Staffing Hours per Resident per Day
0.58967
Expected RN Staffing Hours per Resident per Day
0.94897
Expected Total Nurse Staffing Hours per Resident per Day
4.02525
Adjusted CNA Staffing Hours per Resident per Day
2.00196
Adjusted LPN Staffing Hours per Resident per Day
0.80279
Adjusted RN Staffing Hours per Resident per Day
0.45641
Adjusted Total Nurse Staffing Hours per Resident per Day
3.18327
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
12
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
208
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
208
Total Weighted Health Survey Score
104.00000
Number of Facility Reported Incidents
19
Number of Substantiated Complaints
9
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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