Golden Livingcenter - London House Sonoma - Sonoma Nursing Home
General Information
UPDATEFederal Provider Number
55268
Provider Name
GOLDEN LIVINGCENTER - LONDON HOUSE SONOMA
Provider Address
678 2ND STREET WEST
SONOMA, CA 95476
SONOMA, CA 95476
Provider Phone Number
(707) 938-1096
Provider SSA County
590
Provider County Name
Sonoma
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
83
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEVERLY HEALTH AND REHABILITATION SERVICES, INC
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.24563
Reported LPN Staffing Hours per Resident per Day
0.36813
Reported RN Staffing Hours per Resident per Day
0.92375
Reported Licensed Staffing Hours per Resident per Day
1.29188
Reported Total Nurse Staffing Hours per Resident per Day
3.53751
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06500
Expected CNA Staffing Hours per Resident per Day
2.41184
Expected LPN Staffing Hours per Resident per Day
0.61868
Expected RN Staffing Hours per Resident per Day
0.92521
Expected Total Nurse Staffing Hours per Resident per Day
3.95573
Adjusted CNA Staffing Hours per Resident per Day
2.28461
Adjusted LPN Staffing Hours per Resident per Day
0.49387
Adjusted RN Staffing Hours per Resident per Day
0.74602
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60473
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-02-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-12-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
6
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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