Los Gatos Meadows Geriatric Hospital - Los Gatos Nursing Home

General Information

UPDATE
Federal Provider Number
56290
Provider Name
LOS GATOS MEADOWS GERIATRIC HOSPITAL
Provider Address
110 WOOD ROAD
LOS GATOS, CA 95030
Provider Phone Number
4083540211
Provider SSA County
530
Provider County Name
Santa Clara
Ownership Type
For profit - Individual
Number of Certified Beds
39
Number of Residents in Certified Beds
34
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
EPISCOPAL SENIOR COMMUNITIES
Date First Approved to Provide Medicare and Medicaid services
1971-07-01
Continuing Care Retirement Community
Y
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
4
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
3.48971
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.97059
Reported Licensed Staffing Hours per Resident per Day
0.97059
Reported Total Nurse Staffing Hours per Resident per Day
4.46030
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14706
Expected CNA Staffing Hours per Resident per Day
2.45719
Expected LPN Staffing Hours per Resident per Day
0.55260
Expected RN Staffing Hours per Resident per Day
0.75320
Expected Total Nurse Staffing Hours per Resident per Day
3.76299
Adjusted CNA Staffing Hours per Resident per Day
3.48475
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.96286
Adjusted Total Nurse Staffing Hours per Resident per Day
4.77785
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-04-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
30.66700
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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