Marysville Care Center - Marysville Nursing Home
General Information
UPDATEFederal Provider Number
555682
Provider Name
MARYSVILLE CARE CENTER
Provider Address
1617 RAMIREZ STREET
MARYSVILLE, CA 95901
MARYSVILLE, CA 95901
Provider Phone Number
5307427311
Provider SSA County
680
Provider County Name
Yuba
Ownership Type
For profit - Corporation
Number of Certified Beds
86
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARYSVILLE NURSING & REHAB LLC
Date First Approved to Provide Medicare and Medicaid services
1996-11-07
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.55000
Reported LPN Staffing Hours per Resident per Day
0.85962
Reported RN Staffing Hours per Resident per Day
0.50513
Reported Licensed Staffing Hours per Resident per Day
1.36474
Reported Total Nurse Staffing Hours per Resident per Day
3.91475
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08269
Expected CNA Staffing Hours per Resident per Day
2.32048
Expected LPN Staffing Hours per Resident per Day
0.60160
Expected RN Staffing Hours per Resident per Day
1.03041
Expected Total Nurse Staffing Hours per Resident per Day
3.95249
Adjusted CNA Staffing Hours per Resident per Day
2.69640
Adjusted LPN Staffing Hours per Resident per Day
1.18598
Adjusted RN Staffing Hours per Resident per Day
0.36629
Adjusted Total Nurse Staffing Hours per Resident per Day
3.99242
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2014-07-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-07-12
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
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
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
48
Total Weighted Health Survey Score
99.33300
Number of Facility Reported Incidents
14
Number of Substantiated Complaints
4
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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