Kaweah Delta Skilled Nursing Center - Visalia Nursing Home
General Information
UPDATEFederal Provider Number
555396
Provider Name
KAWEAH DELTA SKILLED NURSING CENTER
Provider Address
1633 SOUTH COURT STREET
VISALIA, CA 93277
VISALIA, CA 93277
Provider Phone Number
(559) 624-6037
Provider SSA County
640
Provider County Name
Tulare
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
70
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
KAWEAH DELTA HEALTH CARE DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1989-10-24
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.64655
Reported LPN Staffing Hours per Resident per Day
2.15776
Reported RN Staffing Hours per Resident per Day
2.26466
Reported Licensed Staffing Hours per Resident per Day
4.42241
Reported Total Nurse Staffing Hours per Resident per Day
7.06897
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18793
Expected CNA Staffing Hours per Resident per Day
2.61103
Expected LPN Staffing Hours per Resident per Day
1.20808
Expected RN Staffing Hours per Resident per Day
1.86866
Expected Total Nurse Staffing Hours per Resident per Day
5.68777
Adjusted CNA Staffing Hours per Resident per Day
2.48708
Adjusted LPN Staffing Hours per Resident per Day
1.48246
Adjusted RN Staffing Hours per Resident per Day
0.90555
Adjusted Total Nurse Staffing Hours per Resident per Day
5.00975
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
54.66700
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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