Meadowood A Health And Rehabilitation Center - Stockton Nursing Home

General Information

UPDATE
Federal Provider Number
555713
Provider Name
MEADOWOOD A HEALTH AND REHABILITATION CENTER
Provider Address
3110 WAGNER HEIGHTS ROAD
STOCKTON, CA 95209
Provider Phone Number
(209) 956-3444
Provider SSA County
490
Provider County Name
San Joaquin
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
O'CONNOR WOODS HOUSING CORP
Date First Approved to Provide Medicare and Medicaid services
1997-10-10
Continuing Care Retirement Community
Y
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.34535
Reported LPN Staffing Hours per Resident per Day
1.15407
Reported RN Staffing Hours per Resident per Day
0.65988
Reported Licensed Staffing Hours per Resident per Day
1.81395
Reported Total Nurse Staffing Hours per Resident per Day
4.15930
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24826
Expected CNA Staffing Hours per Resident per Day
2.47004
Expected LPN Staffing Hours per Resident per Day
0.67121
Expected RN Staffing Hours per Resident per Day
1.20934
Expected Total Nurse Staffing Hours per Resident per Day
4.35059
Adjusted CNA Staffing Hours per Resident per Day
2.32983
Adjusted LPN Staffing Hours per Resident per Day
1.42709
Adjusted RN Staffing Hours per Resident per Day
0.40771
Adjusted Total Nurse Staffing Hours per Resident per Day
3.85367
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-11-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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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