Driftwood Healthcare Center - Hayward - Hayward Nursing Home
General Information
UPDATEFederal Provider Number
555533
Provider Name
DRIFTWOOD HEALTHCARE CENTER - HAYWARD
Provider Address
19700 HESPERIAN BOULEVARD
HAYWARD, CA 94541
HAYWARD, CA 94541
Provider Phone Number
(510) 785-2880
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DRIFTWOOD HAYWARD OPERATING COMPANY, LP
Date First Approved to Provide Medicare and Medicaid services
1992-12-11
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
3
QM Rating Footnote
Staffing Rating
3
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
2.14506
Reported LPN Staffing Hours per Resident per Day
0.56173
Reported RN Staffing Hours per Resident per Day
0.82654
Reported Licensed Staffing Hours per Resident per Day
1.38827
Reported Total Nurse Staffing Hours per Resident per Day
3.53333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13395
Expected CNA Staffing Hours per Resident per Day
2.46811
Expected LPN Staffing Hours per Resident per Day
0.68740
Expected RN Staffing Hours per Resident per Day
1.05565
Expected Total Nurse Staffing Hours per Resident per Day
4.21116
Adjusted CNA Staffing Hours per Resident per Day
2.13254
Adjusted LPN Staffing Hours per Resident per Day
0.67826
Adjusted RN Staffing Hours per Resident per Day
0.58503
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38208
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
48
Cycle 1 Total Health Score
144
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-05-09
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
28
Cycle 3 Number of Standard Health Deficiencies
21
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
160
Cycle 3 Standard Health Survey Date
2012-01-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
160
Total Weighted Health Survey Score
106.66700
Number of Facility Reported Incidents
15
Number of Substantiated Complaints
15
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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