New Bethany Skilled Nursing - Los Banos Nursing Home

General Information

UPDATE
Federal Provider Number
555758
Provider Name
NEW BETHANY SKILLED NURSING
Provider Address
1441 BERKELEY DR
LOS BANOS, CA 93635
Provider Phone Number
(209) 827-8949
Provider SSA County
340
Provider County Name
Merced
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
35
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2000-06-15
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
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.16129
Reported LPN Staffing Hours per Resident per Day
0.60645
Reported RN Staffing Hours per Resident per Day
0.80806
Reported Licensed Staffing Hours per Resident per Day
1.41452
Reported Total Nurse Staffing Hours per Resident per Day
4.57580
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.56025
Expected LPN Staffing Hours per Resident per Day
0.62390
Expected RN Staffing Hours per Resident per Day
0.96672
Expected Total Nurse Staffing Hours per Resident per Day
4.15087
Adjusted CNA Staffing Hours per Resident per Day
3.02972
Adjusted LPN Staffing Hours per Resident per Day
0.80678
Adjusted RN Staffing Hours per Resident per Day
0.62457
Adjusted Total Nurse Staffing Hours per Resident per Day
4.44354
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-10-06
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
0
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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