Hillside Senior Care - Fremont Nursing Home

General Information

UPDATE
Federal Provider Number
55562
Provider Name
HILLSIDE SENIOR CARE
Provider Address
38650 MISSION BLVD
FREMONT, CA 94536
Provider Phone Number
(510) 793-3000
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
73
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVANTI INSIEME, INC
Date First Approved to Provide Medicare and Medicaid services
1978-01-01
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
3
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
2.87581
Reported LPN Staffing Hours per Resident per Day
0.25726
Reported RN Staffing Hours per Resident per Day
0.67097
Reported Licensed Staffing Hours per Resident per Day
0.92823
Reported Total Nurse Staffing Hours per Resident per Day
3.80404
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03468
Expected CNA Staffing Hours per Resident per Day
2.62823
Expected LPN Staffing Hours per Resident per Day
0.59960
Expected RN Staffing Hours per Resident per Day
0.76296
Expected Total Nurse Staffing Hours per Resident per Day
3.99078
Adjusted CNA Staffing Hours per Resident per Day
2.68484
Adjusted LPN Staffing Hours per Resident per Day
0.35611
Adjusted RN Staffing Hours per Resident per Day
0.65711
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84228
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-05-08
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
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-04-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
6
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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