Manorcare Health Services (citrus Heights) - Citrus Heights Nursing Home
General Information
UPDATEFederal Provider Number
555337
Provider Name
MANORCARE HEALTH SERVICES (CITRUS HEIGHTS)
Provider Address
7807 UPLANDS WAY
CITRUS HEIGHTS, CA 95610
CITRUS HEIGHTS, CA 95610
Provider Phone Number
(916) 967-2929
Provider SSA County
440
Provider County Name
Sacramento
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
162
Number of Residents in Certified Beds
125
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF CITRUS HEIGHTS CA LLC
Date First Approved to Provide Medicare and Medicaid services
1989-01-01
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.49360
Reported LPN Staffing Hours per Resident per Day
0.26040
Reported RN Staffing Hours per Resident per Day
1.82800
Reported Licensed Staffing Hours per Resident per Day
2.08840
Reported Total Nurse Staffing Hours per Resident per Day
4.58200
Reported Physical Therapist Staffing Hours per Resident Per Day
0.38800
Expected CNA Staffing Hours per Resident per Day
2.56153
Expected LPN Staffing Hours per Resident per Day
0.74954
Expected RN Staffing Hours per Resident per Day
1.40949
Expected Total Nurse Staffing Hours per Resident per Day
4.72056
Adjusted CNA Staffing Hours per Resident per Day
2.38863
Adjusted LPN Staffing Hours per Resident per Day
0.28835
Adjusted RN Staffing Hours per Resident per Day
0.96906
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91258
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-11-06
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
14
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
112
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
61.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
26650
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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