Eureka Rehabilitation & Wellness Center, Lp - Eureka Nursing Home

General Information

UPDATE
Federal Provider Number
55003
Provider Name
EUREKA REHABILITATION & WELLNESS CENTER, LP
Provider Address
2353 TWENTY-THIRD ST
EUREKA, CA 95501
Provider Phone Number
(707) 445-3261
Provider SSA County
110
Provider County Name
Humboldt
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
99
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EUREKA REHABILITATION & WELLNESS CENTER, LP
Date First Approved to Provide Medicare and Medicaid services
1980-06-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.37348
Reported LPN Staffing Hours per Resident per Day
0.67500
Reported RN Staffing Hours per Resident per Day
0.68106
Reported Licensed Staffing Hours per Resident per Day
1.35606
Reported Total Nurse Staffing Hours per Resident per Day
3.72954
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03712
Expected CNA Staffing Hours per Resident per Day
2.43084
Expected LPN Staffing Hours per Resident per Day
0.59313
Expected RN Staffing Hours per Resident per Day
0.91994
Expected Total Nurse Staffing Hours per Resident per Day
3.94392
Adjusted CNA Staffing Hours per Resident per Day
2.39580
Adjusted LPN Staffing Hours per Resident per Day
0.94456
Adjusted RN Staffing Hours per Resident per Day
0.55317
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81180
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-05-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
92
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
92
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
67.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
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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