Kindred Nursing And Rehabilitation-ygnacio Valley - Walnut Creek Nursing Home
General Information
UPDATEFederal Provider Number
56399
Provider Name
KINDRED NURSING AND REHABILITATION-YGNACIO VALLEY
Provider Address
1449 YGNACIO VALLEY RD
WALNUT CREEK, CA 94598
WALNUT CREEK, CA 94598
Provider Phone Number
(925) 939-5820
Provider SSA County
60
Provider County Name
Contra Costa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
YGNACIO VALLEY CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1974-05-31
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.22989
Reported LPN Staffing Hours per Resident per Day
0.82586
Reported RN Staffing Hours per Resident per Day
0.60230
Reported Licensed Staffing Hours per Resident per Day
1.42816
Reported Total Nurse Staffing Hours per Resident per Day
3.65805
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07644
Expected CNA Staffing Hours per Resident per Day
2.41331
Expected LPN Staffing Hours per Resident per Day
0.61590
Expected RN Staffing Hours per Resident per Day
1.00968
Expected Total Nurse Staffing Hours per Resident per Day
4.03890
Adjusted CNA Staffing Hours per Resident per Day
2.26721
Adjusted LPN Staffing Hours per Resident per Day
1.11294
Adjusted RN Staffing Hours per Resident per Day
0.44572
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65081
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-02-05
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
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
50.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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