O'connor Hospital Dp/snf - San Jose Nursing Home

General Information

UPDATE
Federal Provider Number
555594
Provider Name
O'CONNOR HOSPITAL DP/SNF
Provider Address
2105 FOREST AVENUE
SAN JOSE, CA 95128
Provider Phone Number
(408) 947-2831
Provider SSA County
530
Provider County Name
Santa Clara
Provider Website
Provider Description
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
28
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
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