Manteca Care And Rehabilitation Center - Manteca Nursing Home
General Information
UPDATEFederal Provider Number
56216
Provider Name
MANTECA CARE AND REHABILITATION CENTER
Provider Address
410 EASTWOOD AVE
MANTECA, CA 95336
MANTECA, CA 95336
Provider Phone Number
(209) 239-1222
Provider SSA County
490
Provider County Name
San Joaquin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
176
Number of Residents in Certified Beds
144
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KARMA, INC
Date First Approved to Provide Medicare and Medicaid services
1970-09-16
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
0.00000
Reported LPN Staffing Hours per Resident per Day
2.64514
Reported RN Staffing Hours per Resident per Day
1.72014
Reported Licensed Staffing Hours per Resident per Day
4.36528
Reported Total Nurse Staffing Hours per Resident per Day
4.36528
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16771
Expected CNA Staffing Hours per Resident per Day
2.41750
Expected LPN Staffing Hours per Resident per Day
0.62335
Expected RN Staffing Hours per Resident per Day
1.03638
Expected Total Nurse Staffing Hours per Resident per Day
4.07722
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
3.52207
Adjusted RN Staffing Hours per Resident per Day
1.24017
Adjusted Total Nurse Staffing Hours per Resident per Day
4.31568
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
64.00000
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
7
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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