Kindred Nursing And Transitional Care-santa Cruz - Santa Cruz Nursing Home
General Information
UPDATEFederal Provider Number
56065
Provider Name
KINDRED NURSING AND TRANSITIONAL CARE-SANTA CRUZ
Provider Address
1115 CAPITOLA ROAD
SANTA CRUZ, CA 95062
SANTA CRUZ, CA 95062
Provider Phone Number
(831) 475-4055
Provider SSA County
540
Provider County Name
Santa Cruz
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
149
Number of Residents in Certified Beds
139
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KINDRED NURSING CENTERS WEST LLC
Date First Approved to Provide Medicare and Medicaid services
1972-08-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.11259
Reported LPN Staffing Hours per Resident per Day
0.73669
Reported RN Staffing Hours per Resident per Day
0.67662
Reported Licensed Staffing Hours per Resident per Day
1.41331
Reported Total Nurse Staffing Hours per Resident per Day
3.52590
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16331
Expected CNA Staffing Hours per Resident per Day
2.45827
Expected LPN Staffing Hours per Resident per Day
0.58338
Expected RN Staffing Hours per Resident per Day
0.97994
Expected Total Nurse Staffing Hours per Resident per Day
4.02158
Adjusted CNA Staffing Hours per Resident per Day
2.10867
Adjusted LPN Staffing Hours per Resident per Day
1.04812
Adjusted RN Staffing Hours per Resident per Day
0.51592
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53407
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2015-02-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
26
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
152
Cycle 2 Standard Health Survey Date
2014-04-25
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
76
Cycle 2 Total Health Score
228
Cycle 3 Total Number of Health Deficiencies
30
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
19
Cycle 3 Health Deficiency Score
152
Cycle 3 Standard Health Survey Date
2013-07-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
152
Total Weighted Health Survey Score
141.33300
Number of Facility Reported Incidents
29
Number of Substantiated Complaints
19
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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