Merritt Manor Conv Hosp - Tulare Nursing Home
General Information
UPDATEFederal Provider Number
56261
Provider Name
MERRITT MANOR CONV HOSP
Provider Address
604 E. MERRITT AVE.
TULARE, CA 93274
TULARE, CA 93274
Provider Phone Number
(559) 686-1601
Provider SSA County
640
Provider County Name
Tulare
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MERRITT MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1974-01-17
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
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.57312
Reported LPN Staffing Hours per Resident per Day
1.15538
Reported RN Staffing Hours per Resident per Day
0.19570
Reported Licensed Staffing Hours per Resident per Day
1.35108
Reported Total Nurse Staffing Hours per Resident per Day
3.92420
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01290
Expected CNA Staffing Hours per Resident per Day
2.28965
Expected LPN Staffing Hours per Resident per Day
0.51684
Expected RN Staffing Hours per Resident per Day
0.69792
Expected Total Nurse Staffing Hours per Resident per Day
3.50441
Adjusted CNA Staffing Hours per Resident per Day
2.75748
Adjusted LPN Staffing Hours per Resident per Day
1.85544
Adjusted RN Staffing Hours per Resident per Day
0.20952
Adjusted Total Nurse Staffing Hours per Resident per Day
4.51376
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2013-03-14
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
48
Cycle 3 Total Health Score
144
Total Weighted Health Survey Score
77.33300
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
1
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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