California Nursing Homes >> Alturas Nursing Homes >> Modoc Medical Center D/p Snf

Modoc Medical Center D/p Snf - Alturas Nursing Home

General Information

UPDATE
Federal Provider Number
555420
Provider Name
MODOC MEDICAL CENTER D/P SNF
Provider Address
228 W MC DOWELL AVE
ALTURAS, CA 96101
Provider Phone Number
(530) 233-5131
Provider SSA County
350
Provider County Name
Modoc
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
59
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
LAST FRONTIER HEALTHCARE DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1990-05-04
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
2
QM Rating Footnote
Staffing Rating
4
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
4.37826
Reported LPN Staffing Hours per Resident per Day
1.25000
Reported RN Staffing Hours per Resident per Day
0.45326
Reported Licensed Staffing Hours per Resident per Day
1.70326
Reported Total Nurse Staffing Hours per Resident per Day
6.08152
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00435
Expected CNA Staffing Hours per Resident per Day
2.10677
Expected LPN Staffing Hours per Resident per Day
0.62076
Expected RN Staffing Hours per Resident per Day
0.86856
Expected Total Nurse Staffing Hours per Resident per Day
3.59609
Adjusted CNA Staffing Hours per Resident per Day
5.09925
Adjusted LPN Staffing Hours per Resident per Day
1.67134
Adjusted RN Staffing Hours per Resident per Day
0.38993
Adjusted Total Nurse Staffing Hours per Resident per Day
6.81684
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-05-09
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
61.33300
Number of Facility Reported Incidents
5
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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