Jones Convalescent Hospital - San Leandro Nursing Home
General Information
UPDATEFederal Provider Number
555842
Provider Name
JONES CONVALESCENT HOSPITAL
Provider Address
524 CALLAN AVENUE
SAN LEANDRO, CA 94577
SAN LEANDRO, CA 94577
Provider Phone Number
(510) 483-6200
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
25
Number of Residents in Certified Beds
21
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SANHYD INC
Date First Approved to Provide Medicare and Medicaid services
2007-03-29
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
5
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
3.07381
Reported LPN Staffing Hours per Resident per Day
0.62619
Reported RN Staffing Hours per Resident per Day
1.33333
Reported Licensed Staffing Hours per Resident per Day
1.95952
Reported Total Nurse Staffing Hours per Resident per Day
5.03333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03810
Expected CNA Staffing Hours per Resident per Day
2.46916
Expected LPN Staffing Hours per Resident per Day
0.61584
Expected RN Staffing Hours per Resident per Day
0.97912
Expected Total Nurse Staffing Hours per Resident per Day
4.06412
Adjusted CNA Staffing Hours per Resident per Day
3.05456
Adjusted LPN Staffing Hours per Resident per Day
0.84395
Adjusted RN Staffing Hours per Resident per Day
1.01751
Adjusted Total Nurse Staffing Hours per Resident per Day
4.99219
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-04-02
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-09-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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