Greenhills Manor - Campbell Nursing Home
General Information
UPDATEFederal Provider Number
555841
Provider Name
GREENHILLS MANOR
Provider Address
238 VIRGINIA AVENUE
CAMPBELL, CA 95008
CAMPBELL, CA 95008
Provider Phone Number
(408) 379-8114
Provider SSA County
530
Provider County Name
Santa Clara
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
J & J HEALTH CARE SERVICES INC
Date First Approved to Provide Medicare and Medicaid services
2007-01-22
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
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
2.72558
Reported LPN Staffing Hours per Resident per Day
0.42907
Reported RN Staffing Hours per Resident per Day
0.51163
Reported Licensed Staffing Hours per Resident per Day
0.94070
Reported Total Nurse Staffing Hours per Resident per Day
3.66628
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00698
Expected CNA Staffing Hours per Resident per Day
2.11635
Expected LPN Staffing Hours per Resident per Day
0.51644
Expected RN Staffing Hours per Resident per Day
0.72689
Expected Total Nurse Staffing Hours per Resident per Day
3.35967
Adjusted CNA Staffing Hours per Resident per Day
3.16004
Adjusted LPN Staffing Hours per Resident per Day
0.68958
Adjusted RN Staffing Hours per Resident per Day
0.52593
Adjusted Total Nurse Staffing Hours per Resident per Day
4.39876
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-12-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
38.00000
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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