Ha-le Aloha Convalescent Hospital - Ceres Nursing Home
General Information
UPDATEFederal Provider Number
55935
Provider Name
HA-LE ALOHA CONVALESCENT HOSPITAL
Provider Address
1711 RICHLAND AVENUE
CERES, CA 95307
CERES, CA 95307
Provider Phone Number
(209) 537-4581
Provider SSA County
600
Provider County Name
Stanislaus
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARK ONE CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1977-10-01
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
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.99333
Reported LPN Staffing Hours per Resident per Day
0.77444
Reported RN Staffing Hours per Resident per Day
0.40667
Reported Licensed Staffing Hours per Resident per Day
1.18111
Reported Total Nurse Staffing Hours per Resident per Day
3.17444
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02111
Expected CNA Staffing Hours per Resident per Day
2.26031
Expected LPN Staffing Hours per Resident per Day
0.59065
Expected RN Staffing Hours per Resident per Day
0.82923
Expected Total Nurse Staffing Hours per Resident per Day
3.68019
Adjusted CNA Staffing Hours per Resident per Day
2.16387
Adjusted LPN Staffing Hours per Resident per Day
1.08827
Adjusted RN Staffing Hours per Resident per Day
0.36644
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47695
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
16
Cycle 2 Standard Health Survey Date
2013-05-23
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
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-05-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
18.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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