Los Banos Nursing & Rehabilita - Los Banos Nursing Home
General Information
UPDATEFederal Provider Number
55028
Provider Name
LOS BANOS NURSING & REHABILITA
Provider Address
931 IDAHO AVE.
LOS BANOS, CA 93635
LOS BANOS, CA 93635
Provider Phone Number
(209) 826-0790
Provider SSA County
340
Provider County Name
Merced
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PARA & PALLI INC.
Date First Approved to Provide Medicare and Medicaid services
1976-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.92045
Reported LPN Staffing Hours per Resident per Day
0.76477
Reported RN Staffing Hours per Resident per Day
0.73182
Reported Licensed Staffing Hours per Resident per Day
1.49659
Reported Total Nurse Staffing Hours per Resident per Day
4.41704
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12955
Expected CNA Staffing Hours per Resident per Day
2.38470
Expected LPN Staffing Hours per Resident per Day
0.59915
Expected RN Staffing Hours per Resident per Day
0.85758
Expected Total Nurse Staffing Hours per Resident per Day
3.84143
Adjusted CNA Staffing Hours per Resident per Day
3.00496
Adjusted LPN Staffing Hours per Resident per Day
1.05943
Adjusted RN Staffing Hours per Resident per Day
0.63762
Adjusted Total Nurse Staffing Hours per Resident per Day
4.63490
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-07-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
63.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
8
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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