English Oaks Conv & Rehab Hospital - Modesto Nursing Home
General Information
UPDATEFederal Provider Number
555190
Provider Name
ENGLISH OAKS CONV & REHAB HOSPITAL
Provider Address
2633 WEST RUMBLE RD
MODESTO, CA 95350
MODESTO, CA 95350
Provider Phone Number
(209) 577-1001
Provider SSA County
600
Provider County Name
Stanislaus
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
162
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GHC OF MODESTO, LLC
Date First Approved to Provide Medicare and Medicaid services
1985-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Partial
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
2
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
2.72654
Reported LPN Staffing Hours per Resident per Day
0.99290
Reported RN Staffing Hours per Resident per Day
0.60000
Reported Licensed Staffing Hours per Resident per Day
1.59290
Reported Total Nurse Staffing Hours per Resident per Day
4.31944
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19907
Expected CNA Staffing Hours per Resident per Day
2.71966
Expected LPN Staffing Hours per Resident per Day
0.80778
Expected RN Staffing Hours per Resident per Day
1.28561
Expected Total Nurse Staffing Hours per Resident per Day
4.81304
Adjusted CNA Staffing Hours per Resident per Day
2.45991
Adjusted LPN Staffing Hours per Resident per Day
1.02021
Adjusted RN Staffing Hours per Resident per Day
0.34872
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61751
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
62
Cycle 1 Standard Survey Health Date
2015-03-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
62
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-04-05
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
42.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
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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