New Hope Post Acute Care - Tracy Nursing Home
General Information
UPDATEFederal Provider Number
555245
Provider Name
NEW HOPE POST ACUTE CARE
Provider Address
2586 BUTHMANN AVE
TRACY, CA 95376
TRACY, CA 95376
Provider Phone Number
(209) 832-2273
Provider SSA County
490
Provider County Name
San Joaquin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVERGREEN AT TRACY LLC
Date First Approved to Provide Medicare and Medicaid services
1987-02-25
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.33876
Reported LPN Staffing Hours per Resident per Day
0.92191
Reported RN Staffing Hours per Resident per Day
0.68034
Reported Licensed Staffing Hours per Resident per Day
1.60225
Reported Total Nurse Staffing Hours per Resident per Day
3.94101
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19101
Expected CNA Staffing Hours per Resident per Day
2.51991
Expected LPN Staffing Hours per Resident per Day
0.66230
Expected RN Staffing Hours per Resident per Day
1.05878
Expected Total Nurse Staffing Hours per Resident per Day
4.24099
Adjusted CNA Staffing Hours per Resident per Day
2.27731
Adjusted LPN Staffing Hours per Resident per Day
1.15535
Adjusted RN Staffing Hours per Resident per Day
0.48013
Adjusted Total Nurse Staffing Hours per Resident per Day
3.74578
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-01-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
2
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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