Kingsburg Center - Kingsburg Nursing Home
General Information
UPDATEFederal Provider Number
55573
Provider Name
KINGSBURG CENTER
Provider Address
1101 STROUD AVE
KINGSBURG, CA 93631
KINGSBURG, CA 93631
Provider Phone Number
5598975881
Provider SSA County
90
Provider County Name
Fresno
Ownership Type
For profit - Corporation
Number of Certified Beds
86
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNBRIDGE CARE ENTERPRISES WEST
Date First Approved to Provide Medicare and Medicaid services
1978-04-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.20988
Reported LPN Staffing Hours per Resident per Day
0.52442
Reported RN Staffing Hours per Resident per Day
0.59767
Reported Licensed Staffing Hours per Resident per Day
1.12209
Reported Total Nurse Staffing Hours per Resident per Day
3.33197
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05174
Expected CNA Staffing Hours per Resident per Day
2.34947
Expected LPN Staffing Hours per Resident per Day
0.54710
Expected RN Staffing Hours per Resident per Day
0.83519
Expected Total Nurse Staffing Hours per Resident per Day
3.73176
Adjusted CNA Staffing Hours per Resident per Day
2.30792
Adjusted LPN Staffing Hours per Resident per Day
0.79559
Adjusted RN Staffing Hours per Resident per Day
0.53470
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59906
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-04-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
20
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
37.33300
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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Sunnyside Conv. Hospital
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California Home For The Aged
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