Herman Health Care Center - San Jose Nursing Home
General Information
UPDATEFederal Provider Number
555831
Provider Name
HERMAN HEALTH CARE CENTER
Provider Address
2295 PLUMMER AVENUE
SAN JOSE, CA 95125
SAN JOSE, CA 95125
Provider Phone Number
(408) 269-0701
Provider SSA County
530
Provider County Name
Santa Clara
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE HERMAN SANITARIUM
Date First Approved to Provide Medicare and Medicaid services
2005-11-26
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.59770
Reported LPN Staffing Hours per Resident per Day
0.26667
Reported RN Staffing Hours per Resident per Day
0.89080
Reported Licensed Staffing Hours per Resident per Day
1.15747
Reported Total Nurse Staffing Hours per Resident per Day
3.75517
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01782
Expected CNA Staffing Hours per Resident per Day
2.25863
Expected LPN Staffing Hours per Resident per Day
0.56937
Expected RN Staffing Hours per Resident per Day
0.80682
Expected Total Nurse Staffing Hours per Resident per Day
3.63482
Adjusted CNA Staffing Hours per Resident per Day
2.82206
Adjusted LPN Staffing Hours per Resident per Day
0.38874
Adjusted RN Staffing Hours per Resident per Day
0.82497
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16436
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-07-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-09-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-10-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
44.00000
Number of Facility Reported Incidents
25
Number of Substantiated Complaints
3
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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