Mayers Memorial Hospital - Fall River Mills Nursing Home

General Information

UPDATE
Federal Provider Number
56416
Provider Name
MAYERS MEMORIAL HOSPITAL
Provider Address
43563 HWY 299 E
FALL RIVER MILLS, CA 96028
Provider Phone Number
(530) 336-5511
Provider SSA County
550
Provider County Name
Shasta
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
99
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
MAYERS MEMORIAL HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1973-11-08
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.65473
Reported LPN Staffing Hours per Resident per Day
0.37838
Reported RN Staffing Hours per Resident per Day
0.55203
Reported Licensed Staffing Hours per Resident per Day
0.93041
Reported Total Nurse Staffing Hours per Resident per Day
3.58514
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.25385
Expected LPN Staffing Hours per Resident per Day
0.52823
Expected RN Staffing Hours per Resident per Day
0.71923
Expected Total Nurse Staffing Hours per Resident per Day
3.50131
Adjusted CNA Staffing Hours per Resident per Day
2.89013
Adjusted LPN Staffing Hours per Resident per Day
0.59454
Adjusted RN Staffing Hours per Resident per Day
0.57350
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12741
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
25
Cycle 2 Number of Standard Health Deficiencies
21
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
231
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
116
Cycle 2 Total Health Score
347
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
169.00000
Number of Facility Reported Incidents
10
Number of Substantiated Complaints
2
Number of Fines
2
Total Amount of Fines in Dollars
10075
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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