Manorcare Health Services (sunnyvale) - Sunnyvale Nursing Home
General Information
UPDATEFederal Provider Number
555444
Provider Name
MANORCARE HEALTH SERVICES (SUNNYVALE)
Provider Address
1150 TILTON DRIVE
SUNNYVALE, CA 94087
SUNNYVALE, CA 94087
Provider Phone Number
(408) 735-7200
Provider SSA County
530
Provider County Name
Santa Clara
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF SUNNYVALE CA LLC
Date First Approved to Provide Medicare and Medicaid services
1991-01-03
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
5
QM Rating Footnote
Staffing Rating
3
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
2.08419
Reported LPN Staffing Hours per Resident per Day
0.29444
Reported RN Staffing Hours per Resident per Day
1.21752
Reported Licensed Staffing Hours per Resident per Day
1.51197
Reported Total Nurse Staffing Hours per Resident per Day
3.59615
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25000
Expected CNA Staffing Hours per Resident per Day
2.58243
Expected LPN Staffing Hours per Resident per Day
0.68645
Expected RN Staffing Hours per Resident per Day
1.23049
Expected Total Nurse Staffing Hours per Resident per Day
4.49937
Adjusted CNA Staffing Hours per Resident per Day
1.98030
Adjusted LPN Staffing Hours per Resident per Day
0.35601
Adjusted RN Staffing Hours per Resident per Day
0.73932
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22172
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-09-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-09-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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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