Excell Health Care Center - Oakland Nursing Home
General Information
UPDATEFederal Provider Number
56170
Provider Name
EXCELL HEALTH CARE CENTER
Provider Address
3025 HIGH STREET
OAKLAND, CA 94619
OAKLAND, CA 94619
Provider Phone Number
(510) 261-5200
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC OAKLAND EXCELL OPERATING COMPANY LP
Date First Approved to Provide Medicare and Medicaid services
1970-03-04
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.34375
Reported LPN Staffing Hours per Resident per Day
0.65365
Reported RN Staffing Hours per Resident per Day
0.72917
Reported Licensed Staffing Hours per Resident per Day
1.38281
Reported Total Nurse Staffing Hours per Resident per Day
3.72657
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11979
Expected CNA Staffing Hours per Resident per Day
2.51924
Expected LPN Staffing Hours per Resident per Day
0.66324
Expected RN Staffing Hours per Resident per Day
1.11402
Expected Total Nurse Staffing Hours per Resident per Day
4.29650
Adjusted CNA Staffing Hours per Resident per Day
2.28278
Adjusted LPN Staffing Hours per Resident per Day
0.81800
Adjusted RN Staffing Hours per Resident per Day
0.48907
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49620
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-09-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-06-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
39.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
7
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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