Idylwood Care Center - Sunnyvale Nursing Home
General Information
UPDATEFederal Provider Number
55211
Provider Name
IDYLWOOD CARE CENTER
Provider Address
1002 W. FREMONT AVENUE
SUNNYVALE, CA 94087
SUNNYVALE, CA 94087
Provider Phone Number
(408) 739-2383
Provider SSA County
530
Provider County Name
Santa Clara
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
185
Number of Residents in Certified Beds
165
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HELIOS HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
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
3.69273
Reported LPN Staffing Hours per Resident per Day
0.55879
Reported RN Staffing Hours per Resident per Day
1.14788
Reported Licensed Staffing Hours per Resident per Day
1.70667
Reported Total Nurse Staffing Hours per Resident per Day
5.39940
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00788
Expected CNA Staffing Hours per Resident per Day
2.26109
Expected LPN Staffing Hours per Resident per Day
0.56721
Expected RN Staffing Hours per Resident per Day
0.79884
Expected Total Nurse Staffing Hours per Resident per Day
3.62714
Adjusted CNA Staffing Hours per Resident per Day
4.00730
Adjusted LPN Staffing Hours per Resident per Day
0.81768
Adjusted RN Staffing Hours per Resident per Day
1.07367
Adjusted Total Nurse Staffing Hours per Resident per Day
6.00044
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-08-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-07-30
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
44
Cycle 2 Total Health Score
132
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-07-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
60.66700
Number of Facility Reported Incidents
1
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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