Driftwood Healthcare Center - Santa Cruz - Santa Cruz Nursing Home
General Information
UPDATEFederal Provider Number
55109
Provider Name
DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ
Provider Address
675 24TH AVENUE
SANTA CRUZ, CA 95062
SANTA CRUZ, CA 95062
Provider Phone Number
(831) 475-6323
Provider SSA County
540
Provider County Name
Santa Cruz
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DRIFTWOOD SANTA CRUZ OPERATING COMPANY LP
Date First Approved to Provide Medicare and Medicaid services
1969-06-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.39639
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
1.01867
Reported Licensed Staffing Hours per Resident per Day
1.01867
Reported Total Nurse Staffing Hours per Resident per Day
3.41506
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20422
Expected CNA Staffing Hours per Resident per Day
2.61065
Expected LPN Staffing Hours per Resident per Day
0.63263
Expected RN Staffing Hours per Resident per Day
1.01652
Expected Total Nurse Staffing Hours per Resident per Day
4.25979
Adjusted CNA Staffing Hours per Resident per Day
2.25232
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.74878
Adjusted Total Nurse Staffing Hours per Resident per Day
3.23156
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-02-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
29
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
13
Cycle 3 Health Deficiency Score
120
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
120
Total Weighted Health Survey Score
76.00000
Number of Facility Reported Incidents
21
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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