Gilroy Healthcare And Rehabilitation Center - Gilroy Nursing Home
General Information
UPDATEFederal Provider Number
55797
Provider Name
GILROY HEALTHCARE AND REHABILITATION CENTER
Provider Address
8170 MURRAY AVENUE
GILROY, CA 95020
GILROY, CA 95020
Provider Phone Number
(408) 842-9311
Provider SSA County
530
Provider County Name
Santa Clara
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
134
Number of Residents in Certified Beds
125
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT CARE CALIFORNIA, LLC
Date First Approved to Provide Medicare and Medicaid services
1969-06-01
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
5
QM Rating Footnote
Staffing Rating
3
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
2.49600
Reported LPN Staffing Hours per Resident per Day
0.34680
Reported RN Staffing Hours per Resident per Day
0.80120
Reported Licensed Staffing Hours per Resident per Day
1.14800
Reported Total Nurse Staffing Hours per Resident per Day
3.64400
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08880
Expected CNA Staffing Hours per Resident per Day
2.54420
Expected LPN Staffing Hours per Resident per Day
0.60156
Expected RN Staffing Hours per Resident per Day
0.91487
Expected Total Nurse Staffing Hours per Resident per Day
4.06063
Adjusted CNA Staffing Hours per Resident per Day
2.40722
Adjusted LPN Staffing Hours per Resident per Day
0.47850
Adjusted RN Staffing Hours per Resident per Day
0.65436
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61732
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2014-01-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2012-12-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
83.33300
Number of Facility Reported Incidents
12
Number of Substantiated Complaints
4
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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