Hayward Springs Care Center - Hayward Nursing Home
General Information
UPDATEFederal Provider Number
555868
Provider Name
HAYWARD SPRINGS CARE CENTER
Provider Address
21863 VALLEJO STREET
HAYWARD, CA 94541
HAYWARD, CA 94541
Provider Phone Number
(510) 690-0600
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
36
Number of Residents in Certified Beds
35
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LTP LANDMARKS LLC
Date First Approved to Provide Medicare and Medicaid services
2011-03-14
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.01714
Reported LPN Staffing Hours per Resident per Day
0.69143
Reported RN Staffing Hours per Resident per Day
0.93000
Reported Licensed Staffing Hours per Resident per Day
1.62143
Reported Total Nurse Staffing Hours per Resident per Day
2.63857
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01286
Expected CNA Staffing Hours per Resident per Day
2.29508
Expected LPN Staffing Hours per Resident per Day
0.54375
Expected RN Staffing Hours per Resident per Day
0.84429
Expected Total Nurse Staffing Hours per Resident per Day
3.68313
Adjusted CNA Staffing Hours per Resident per Day
1.08744
Adjusted LPN Staffing Hours per Resident per Day
1.05542
Adjusted RN Staffing Hours per Resident per Day
0.82305
Adjusted Total Nurse Staffing Hours per Resident per Day
2.88771
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-11-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-11-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
60.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
11
Number of Fines
1
Total Amount of Fines in Dollars
26650
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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