Legacy Nursing And Rehabilitation Center - Martinez Nursing Home
General Information
UPDATEFederal Provider Number
555684
Provider Name
LEGACY NURSING AND REHABILITATION CENTER
Provider Address
1790 MUIR ROAD
MARTINEZ, CA 94553
MARTINEZ, CA 94553
Provider Phone Number
(925) 228-8383
Provider SSA County
60
Provider County Name
Contra Costa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SYCAMORE HEALTH CARE ASSOCIATES
Date First Approved to Provide Medicare and Medicaid services
1996-11-12
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.95882
Reported LPN Staffing Hours per Resident per Day
0.58824
Reported RN Staffing Hours per Resident per Day
0.71765
Reported Licensed Staffing Hours per Resident per Day
1.30588
Reported Total Nurse Staffing Hours per Resident per Day
4.26471
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15824
Expected CNA Staffing Hours per Resident per Day
2.25422
Expected LPN Staffing Hours per Resident per Day
0.56790
Expected RN Staffing Hours per Resident per Day
0.85361
Expected Total Nurse Staffing Hours per Resident per Day
3.67574
Adjusted CNA Staffing Hours per Resident per Day
3.22065
Adjusted LPN Staffing Hours per Resident per Day
0.85972
Adjusted RN Staffing Hours per Resident per Day
0.62819
Adjusted Total Nurse Staffing Hours per Resident per Day
4.67678
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
2014-08-08
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
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
55.33300
Number of Facility Reported Incidents
3
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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