O'connor Hospital Dp/snf - San Jose Nursing Home
General Information
UPDATEFederal Provider Number
555594
Provider Name
O'CONNOR HOSPITAL DP/SNF
Provider Address
2105 FOREST AVENUE
SAN JOSE, CA 95128
SAN JOSE, CA 95128
Provider Phone Number
4089472831
Provider SSA County
530
Provider County Name
Santa Clara
Ownership Type
Non profit - Corporation
Number of Certified Beds
24
Number of Residents in Certified Beds
21
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
O'CONNOR HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1994-04-04
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.53333
Reported LPN Staffing Hours per Resident per Day
2.38333
Reported RN Staffing Hours per Resident per Day
2.58095
Reported Licensed Staffing Hours per Resident per Day
4.96429
Reported Total Nurse Staffing Hours per Resident per Day
7.49761
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10238
Expected CNA Staffing Hours per Resident per Day
2.77562
Expected LPN Staffing Hours per Resident per Day
1.45984
Expected RN Staffing Hours per Resident per Day
1.86705
Expected Total Nurse Staffing Hours per Resident per Day
6.10250
Adjusted CNA Staffing Hours per Resident per Day
2.23952
Adjusted LPN Staffing Hours per Resident per Day
1.35505
Adjusted RN Staffing Hours per Resident per Day
1.03291
Adjusted Total Nurse Staffing Hours per Resident per Day
4.95241
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-11-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-01-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-02-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
1
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
Nursiong Homes Nearby
Skyline Healthcare Center - San Jose
2065 Forest Avenue |
SAN JOSE CA 95128 | 0.2 mile away
Mission Skilled Nursing & Subacute Center
410 North Winchester Boulevard |
SANTA CLARA CA 95050 | 0.8 mile away
White Blossom Care Center
1990 Fruitdale Avenue |
SAN JOSE CA 95128 | 1.3 miles away
Courtyard Care Center
340 Northlake Drive |
SAN JOSE CA 95117 | 1.7 miles away
Empress Care Center, Llc
1299 S. Bascom Avenue |
SAN JOSE CA 95128 | 1.8 miles away
A Grace Sub Acute & Skilled Care
1250 S. Winchester Boulevard |
SAN JOSE CA 95128 | 1.8 miles away
Willow Glen Center
1267 Meridian Avenue |
SAN JOSE CA 95125 | 2.2 miles away
San Tomas Convalescent Hospital
3580 Payne Avenue |
SAN JOSE CA 95117 | 2.3 miles away
Greenhills Manor
238 Virginia Avenue |
CAMPBELL CA 95008 | 3.3 miles away
San Jose Healthcare & Wellness Center
75 N. 13th Street |
SAN JOSE CA 95112 | 3.4 miles away
Herman Health Care Center
2295 Plummer Avenue |
SAN JOSE CA 95125 | 3.8 miles away
Amberwood Gardens
1601 Petersen Avenue |
SAN JOSE CA 95129 | 4.1 miles away
Camden Convalescent Hospital
1331 Camden Avenue |
CAMPBELL CA 95008 | 4.1 miles away
Lincoln Glen Skilled Nursing
2671 Plummer Avenue |
SAN JOSE CA 95125 | 4.2 miles away
Valley House Rehabilitation Center
991 Clyde Avenue |
SANTA CLARA CA 95054 | 4.3 miles away
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