Lincoln Square Post Acute Care - Stockton Nursing Home
General Information
UPDATEFederal Provider Number
555186
Provider Name
LINCOLN SQUARE POST ACUTE CARE
Provider Address
1032 N. LINCOLN STREET
STOCKTON, CA 95203
STOCKTON, CA 95203
Provider Phone Number
(209) 466-5341
Provider SSA County
490
Provider County Name
San Joaquin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STOCKTON HEALTH CARE SERVICES, INC.
Date First Approved to Provide Medicare and Medicaid services
1985-04-09
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.24907
Reported LPN Staffing Hours per Resident per Day
1.05370
Reported RN Staffing Hours per Resident per Day
2.25833
Reported Licensed Staffing Hours per Resident per Day
3.31204
Reported Total Nurse Staffing Hours per Resident per Day
6.56110
Reported Physical Therapist Staffing Hours per Resident Per Day
0.66296
Expected CNA Staffing Hours per Resident per Day
2.73250
Expected LPN Staffing Hours per Resident per Day
0.87679
Expected RN Staffing Hours per Resident per Day
1.77380
Expected Total Nurse Staffing Hours per Resident per Day
5.38308
Adjusted CNA Staffing Hours per Resident per Day
2.91757
Adjusted LPN Staffing Hours per Resident per Day
0.99747
Adjusted RN Staffing Hours per Resident per Day
0.95131
Adjusted Total Nurse Staffing Hours per Resident per Day
4.91301
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
8.66700
Number of Facility Reported Incidents
1
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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