Eagle Crest - Carmichael Nursing Home
General Information
UPDATEFederal Provider Number
55507
Provider Name
EAGLE CREST
Provider Address
8336 FAIR OAKS BOULEVARD
CARMICHAEL, CA 95608
CARMICHAEL, CA 95608
Provider Phone Number
(916) 944-3100
Provider SSA County
440
Provider County Name
Sacramento
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
126
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNBRIDGE CARMICHAEL REHABILITATION CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
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
2.40583
Reported LPN Staffing Hours per Resident per Day
0.68917
Reported RN Staffing Hours per Resident per Day
1.19833
Reported Licensed Staffing Hours per Resident per Day
1.88750
Reported Total Nurse Staffing Hours per Resident per Day
4.29333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07500
Expected CNA Staffing Hours per Resident per Day
2.23877
Expected LPN Staffing Hours per Resident per Day
0.56960
Expected RN Staffing Hours per Resident per Day
0.91369
Expected Total Nurse Staffing Hours per Resident per Day
3.72206
Adjusted CNA Staffing Hours per Resident per Day
2.63680
Adjusted LPN Staffing Hours per Resident per Day
1.00424
Adjusted RN Staffing Hours per Resident per Day
0.97998
Adjusted Total Nurse Staffing Hours per Resident per Day
4.64958
Cycle 1 Total Number of Health Deficiencies
25
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
176
Cycle 1 Standard Survey Health Date
2015-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
176
Cycle 2 Total Number of Health Deficiencies
40
Cycle 2 Number of Standard Health Deficiencies
25
Cycle 2 Number of Complaint Health Deficiencies
15
Cycle 2 Health Deficiency Score
280
Cycle 2 Standard Health Survey Date
2014-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
280
Cycle 3 Total Number of Health Deficiencies
42
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
31
Cycle 3 Health Deficiency Score
331
Cycle 3 Standard Health Survey Date
2014-05-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
331
Total Weighted Health Survey Score
236.50000
Number of Facility Reported Incidents
19
Number of Substantiated Complaints
30
Number of Fines
9
Total Amount of Fines in Dollars
27528
Number of Payment Denials
1
Total Number of Penalties
10
Location
Processing Date
2015-06-01
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