Mountain View Healthcare Center - Mountain View Nursing Home
General Information
UPDATEFederal Provider Number
55316
Provider Name
MOUNTAIN VIEW HEALTHCARE CENTER
Provider Address
2530 SOLACE PLACE
MOUNTAIN VIEW, CA 94040
MOUNTAIN VIEW, CA 94040
Provider Phone Number
(650) 961-6161
Provider SSA County
530
Provider County Name
Santa Clara
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
138
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PALMERO ENTERPRISES INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.78713
Reported LPN Staffing Hours per Resident per Day
0.35446
Reported RN Staffing Hours per Resident per Day
1.06089
Reported Licensed Staffing Hours per Resident per Day
1.41535
Reported Total Nurse Staffing Hours per Resident per Day
4.20248
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15198
Expected CNA Staffing Hours per Resident per Day
2.51392
Expected LPN Staffing Hours per Resident per Day
0.60637
Expected RN Staffing Hours per Resident per Day
0.99198
Expected Total Nurse Staffing Hours per Resident per Day
4.11228
Adjusted CNA Staffing Hours per Resident per Day
2.72036
Adjusted LPN Staffing Hours per Resident per Day
0.48518
Adjusted RN Staffing Hours per Resident per Day
0.79910
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11932
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
44
Cycle 1 Standard Survey Health Date
2015-03-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-04-10
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
16
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2013-03-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
55.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
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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