N M Holderman Memorial Hospital - Snf - Yountville Nursing Home
General Information
UPDATEFederal Provider Number
555095
Provider Name
N M HOLDERMAN MEMORIAL HOSPITAL - SNF
Provider Address
100 CALIFORNIA DRIVE
YOUNTVILLE, CA 94599
YOUNTVILLE, CA 94599
Provider Phone Number
(707) 944-4600
Provider SSA County
380
Provider County Name
Napa
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
321
Number of Residents in Certified Beds
321
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VETERANS HOME OF CALIFORNIA
Date First Approved to Provide Medicare and Medicaid services
1978-08-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
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
2.74486
Reported LPN Staffing Hours per Resident per Day
0.46106
Reported RN Staffing Hours per Resident per Day
1.50187
Reported Licensed Staffing Hours per Resident per Day
1.96293
Reported Total Nurse Staffing Hours per Resident per Day
4.70779
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02960
Expected CNA Staffing Hours per Resident per Day
1.90359
Expected LPN Staffing Hours per Resident per Day
0.56357
Expected RN Staffing Hours per Resident per Day
0.79671
Expected Total Nurse Staffing Hours per Resident per Day
3.26387
Adjusted CNA Staffing Hours per Resident per Day
3.53808
Adjusted LPN Staffing Hours per Resident per Day
0.67902
Adjusted RN Staffing Hours per Resident per Day
1.40854
Adjusted Total Nurse Staffing Hours per Resident per Day
5.81414
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
160
Cycle 2 Standard Health Survey Date
2014-03-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
160
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
74.66700
Number of Facility Reported Incidents
10
Number of Substantiated Complaints
3
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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