Modesto Post Acute Center - Modesto Nursing Home
General Information
UPDATEFederal Provider Number
55849
Provider Name
MODESTO POST ACUTE CENTER
Provider Address
159 E. ORANGEBURG AVENUE
MODESTO, CA 95350
MODESTO, CA 95350
Provider Phone Number
(209) 526-2811
Provider SSA County
600
Provider County Name
Stanislaus
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CF MODESTO, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-12-07
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.96429
Reported LPN Staffing Hours per Resident per Day
1.04610
Reported RN Staffing Hours per Resident per Day
0.37143
Reported Licensed Staffing Hours per Resident per Day
1.41753
Reported Total Nurse Staffing Hours per Resident per Day
4.38182
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05844
Expected CNA Staffing Hours per Resident per Day
2.49074
Expected LPN Staffing Hours per Resident per Day
0.59224
Expected RN Staffing Hours per Resident per Day
0.90662
Expected Total Nurse Staffing Hours per Resident per Day
3.98960
Adjusted CNA Staffing Hours per Resident per Day
2.92021
Adjusted LPN Staffing Hours per Resident per Day
1.46606
Adjusted RN Staffing Hours per Resident per Day
0.30612
Adjusted Total Nurse Staffing Hours per Resident per Day
4.42718
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-04-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-04-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-05-07
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
0
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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