Evergreen Bakersfield Post Acute Care - Bakersfield Nursing Home

General Information

UPDATE
Federal Provider Number
555260
Provider Name
EVERGREEN BAKERSFIELD POST ACUTE CARE
Provider Address
6212 TUDOR WAY
BAKERSFIELD, CA 93306
Provider Phone Number
(661) 871-3133
Provider SSA County
140
Provider County Name
Kern
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVERGREEN AT BAKERSFIELD LLC
Date First Approved to Provide Medicare and Medicaid services
1987-04-23
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.27375
Reported LPN Staffing Hours per Resident per Day
0.97250
Reported RN Staffing Hours per Resident per Day
0.55625
Reported Licensed Staffing Hours per Resident per Day
1.52875
Reported Total Nurse Staffing Hours per Resident per Day
3.80250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15688
Expected CNA Staffing Hours per Resident per Day
2.53572
Expected LPN Staffing Hours per Resident per Day
0.65909
Expected RN Staffing Hours per Resident per Day
1.05164
Expected Total Nurse Staffing Hours per Resident per Day
4.24645
Adjusted CNA Staffing Hours per Resident per Day
2.20021
Adjusted LPN Staffing Hours per Resident per Day
1.22468
Adjusted RN Staffing Hours per Resident per Day
0.39522
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60949
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
56
Cycle 2 Total Health Score
168
Cycle 3 Total Number of Health Deficiencies
23
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
12
Cycle 3 Health Deficiency Score
132
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
132
Total Weighted Health Survey Score
120.00000
Number of Facility Reported Incidents
9
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
55626
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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