La Salette Health And Rehabilitation Center - Stockton Nursing Home
General Information
UPDATEFederal Provider Number
55833
Provider Name
LA SALETTE HEALTH AND REHABILITATION CENTER
Provider Address
537 E. FULTON STREET
STOCKTON, CA 95204
STOCKTON, CA 95204
Provider Phone Number
(209) 466-2066
Provider SSA County
490
Provider County Name
San Joaquin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
116
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FIVE STAR QUALITY CARE-CA II LLC
Date First Approved to Provide Medicare and Medicaid services
1967-11-06
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.28875
Reported LPN Staffing Hours per Resident per Day
1.29125
Reported RN Staffing Hours per Resident per Day
0.54375
Reported Licensed Staffing Hours per Resident per Day
1.83500
Reported Total Nurse Staffing Hours per Resident per Day
4.12375
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23125
Expected CNA Staffing Hours per Resident per Day
2.54318
Expected LPN Staffing Hours per Resident per Day
0.61722
Expected RN Staffing Hours per Resident per Day
0.97543
Expected Total Nurse Staffing Hours per Resident per Day
4.13583
Adjusted CNA Staffing Hours per Resident per Day
2.20822
Adjusted LPN Staffing Hours per Resident per Day
1.73640
Adjusted RN Staffing Hours per Resident per Day
0.41652
Adjusted Total Nurse Staffing Hours per Resident per Day
4.01913
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-08-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
20
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
290
Cycle 2 Standard Health Survey Date
2013-08-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
290
Cycle 3 Total Number of Health Deficiencies
23
Cycle 3 Number of Standard Health Deficiencies
21
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
152
Cycle 3 Standard Health Survey Date
2012-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
152
Total Weighted Health Survey Score
160.00000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
14300
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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