Novato Healthcare Center - Novato Nursing Home
General Information
UPDATEFederal Provider Number
555844
Provider Name
NOVATO HEALTHCARE CENTER
Provider Address
1565 HILL ROAD
NOVATO, CA 94947
NOVATO, CA 94947
Provider Phone Number
(415) 897-6161
Provider SSA County
310
Provider County Name
Marin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
181
Number of Residents in Certified Beds
166
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NOVATO HEALTHCARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2007-10-31
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
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
2.45572
Reported LPN Staffing Hours per Resident per Day
0.59759
Reported RN Staffing Hours per Resident per Day
0.71024
Reported Licensed Staffing Hours per Resident per Day
1.30783
Reported Total Nurse Staffing Hours per Resident per Day
3.76355
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18554
Expected CNA Staffing Hours per Resident per Day
2.27211
Expected LPN Staffing Hours per Resident per Day
0.57338
Expected RN Staffing Hours per Resident per Day
0.93976
Expected Total Nurse Staffing Hours per Resident per Day
3.78525
Adjusted CNA Staffing Hours per Resident per Day
2.65198
Adjusted LPN Staffing Hours per Resident per Day
0.86504
Adjusted RN Staffing Hours per Resident per Day
0.56471
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00779
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2014-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-02-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
53.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
4
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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