Folsom Care Center - Folsom Nursing Home
General Information
UPDATEFederal Provider Number
55173
Provider Name
FOLSOM CARE CENTER
Provider Address
510 MILL STREET
FOLSOM, CA 95630
FOLSOM, CA 95630
Provider Phone Number
9169853641
Provider SSA County
440
Provider County Name
Sacramento
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BLUFF ENTERPRISES CORP
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
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
3.42470
Reported LPN Staffing Hours per Resident per Day
0.68193
Reported RN Staffing Hours per Resident per Day
0.75422
Reported Licensed Staffing Hours per Resident per Day
1.43614
Reported Total Nurse Staffing Hours per Resident per Day
4.86085
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07229
Expected CNA Staffing Hours per Resident per Day
2.52302
Expected LPN Staffing Hours per Resident per Day
0.64830
Expected RN Staffing Hours per Resident per Day
1.09383
Expected Total Nurse Staffing Hours per Resident per Day
4.26515
Adjusted CNA Staffing Hours per Resident per Day
3.33061
Adjusted LPN Staffing Hours per Resident per Day
0.87305
Adjusted RN Staffing Hours per Resident per Day
0.51521
Adjusted Total Nurse Staffing Hours per Resident per Day
4.59388
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-09-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
88
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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