Eskaton Village Care Center - Carmichael Nursing Home
General Information
UPDATEFederal Provider Number
555555
Provider Name
ESKATON VILLAGE CARE CENTER
Provider Address
3939 WALNUT AVE.
CARMICHAEL, CA 95608
CARMICHAEL, CA 95608
Provider Phone Number
(916) 974-2060
Provider SSA County
440
Provider County Name
Sacramento
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
35
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ESKATON PROPERTIES, INCORPORATED
Date First Approved to Provide Medicare and Medicaid services
1993-04-19
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.79032
Reported LPN Staffing Hours per Resident per Day
0.81613
Reported RN Staffing Hours per Resident per Day
1.42258
Reported Licensed Staffing Hours per Resident per Day
2.23871
Reported Total Nurse Staffing Hours per Resident per Day
5.02903
Reported Physical Therapist Staffing Hours per Resident Per Day
0.31613
Expected CNA Staffing Hours per Resident per Day
2.30277
Expected LPN Staffing Hours per Resident per Day
0.73735
Expected RN Staffing Hours per Resident per Day
1.56003
Expected Total Nurse Staffing Hours per Resident per Day
4.60016
Adjusted CNA Staffing Hours per Resident per Day
2.97320
Adjusted LPN Staffing Hours per Resident per Day
0.91868
Adjusted RN Staffing Hours per Resident per Day
0.68137
Adjusted Total Nurse Staffing Hours per Resident per Day
4.40670
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-08-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-08-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-10-02
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
63.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
3
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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