Hy-lond Health Care Center - Modesto - Modesto Nursing Home

General Information

UPDATE
Federal Provider Number
56301
Provider Name
HY-LOND HEALTH CARE CENTER - MODESTO
Provider Address
1900 COFFEE ROAD
MODESTO, CA 95355
Provider Phone Number
(209) 526-1775
Provider SSA County
600
Provider County Name
Stanislaus
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
120
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVALON CARE CENTER - MODESTO HYLOND, LLC
Date First Approved to Provide Medicare and Medicaid services
1974-08-01
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
3
QM Rating Footnote
Staffing Rating
3
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
2.08625
Reported LPN Staffing Hours per Resident per Day
0.46917
Reported RN Staffing Hours per Resident per Day
0.85792
Reported Licensed Staffing Hours per Resident per Day
1.32708
Reported Total Nurse Staffing Hours per Resident per Day
3.41334
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12542
Expected CNA Staffing Hours per Resident per Day
2.53463
Expected LPN Staffing Hours per Resident per Day
0.60341
Expected RN Staffing Hours per Resident per Day
0.97538
Expected Total Nurse Staffing Hours per Resident per Day
4.11343
Adjusted CNA Staffing Hours per Resident per Day
2.01964
Adjusted LPN Staffing Hours per Resident per Day
0.64535
Adjusted RN Staffing Hours per Resident per Day
0.65722
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34486
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
11.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
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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