Kaiser Foundation Hospital Manteca D/p Snf - Manteca Nursing Home
General Information
UPDATEFederal Provider Number
555601
Provider Name
KAISER FOUNDATION HOSPITAL MANTECA D/P SNF
Provider Address
1777 WEST YOSEMITE AVENUE
MANTECA, CA 95336
MANTECA, CA 95336
Provider Phone Number
2098253625
Provider SSA County
490
Provider County Name
San Joaquin
Ownership Type
For profit - Corporation
Number of Certified Beds
38
Number of Residents in Certified Beds
9
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
KAISER FOUNDATION HOSPITALS
Date First Approved to Provide Medicare and Medicaid services
1994-05-13
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
0
QM Rating Footnote
Data Not Available
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
4.12778
Reported LPN Staffing Hours per Resident per Day
1.91111
Reported RN Staffing Hours per Resident per Day
8.00000
Reported Licensed Staffing Hours per Resident per Day
9.91111
Reported Total Nurse Staffing Hours per Resident per Day
14.03889
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09444
Expected CNA Staffing Hours per Resident per Day
2.71905
Expected LPN Staffing Hours per Resident per Day
1.37378
Expected RN Staffing Hours per Resident per Day
1.84661
Expected Total Nurse Staffing Hours per Resident per Day
5.93944
Adjusted CNA Staffing Hours per Resident per Day
3.72495
Adjusted LPN Staffing Hours per Resident per Day
1.15464
Adjusted RN Staffing Hours per Resident per Day
3.23707
Adjusted Total Nurse Staffing Hours per Resident per Day
9.52773
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-09-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
6.00000
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
Nursiong Homes Nearby
St Jude Care Center
469 East North Street |
MANTECA CA 95336 | 1.3 miles away
Manteca Care And Rehabilitation Center
410 Eastwood Ave |
MANTECA CA 95336 | 2.3 miles away
Bethany Home Society San Joaquin County
930 West Main Street |
RIPON CA 95366 | 5 miles away
Lincoln Square Post Acute Care
1032 N. Lincoln Street |
STOCKTON CA 95203 | 12.9 miles away
Plymouth Square
1319 N. Madison Street |
STOCKTON CA 95202 | 13 miles away
Good Samaritan Rehab And Care Center
1630 N. Edison Street |
STOCKTON CA 95204 | 13.3 miles away
Windsor Hampton Care Center
442 Hampton Street |
STOCKTON CA 95204 | 13.5 miles away
New Hope Post Acute Care
2586 Buthmann Ave |
TRACY CA 95376 | 13.6 miles away
Golden Living Center - Portside
2740 North California Street |
STOCKTON CA 95204 | 13.6 miles away
Tracy Nursing And Rehabilitation Center
545 West Beverly Place |
TRACY CA 95376 | 13.9 miles away
La Salette Health And Rehabilitation Center
537 E. Fulton Street |
STOCKTON CA 95204 | 14.2 miles away
Golden Living Center - Hy-pana
4545 Shelley Court |
STOCKTON CA 95207 | 14.9 miles away
Golden Living Center - Chateau
1221 Rosemarie Lane |
STOCKTON CA 95207 | 14.9 miles away
Crestwood Manor - 104
1130 Monaco Court |
STOCKTON CA 95207 | 15 miles away
Riverwood Healthcare Center
5320 Carrington Circle |
STOCKTON CA 95210 | 15.5 miles away
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