Oak River Rehab - Anderson Nursing Home
General Information
UPDATEFederal Provider Number
555147
Provider Name
OAK RIVER REHAB
Provider Address
3300 FRANKLIN STREET
ANDERSON, CA 96007
ANDERSON, CA 96007
Provider Phone Number
(530) 365-0025
Provider SSA County
550
Provider County Name
Shasta
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
143
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAGNOLIA HOLDINGS, LLC
Date First Approved to Provide Medicare and Medicaid services
1982-06-10
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.57326
Reported LPN Staffing Hours per Resident per Day
1.23992
Reported RN Staffing Hours per Resident per Day
0.77791
Reported Licensed Staffing Hours per Resident per Day
2.01783
Reported Total Nurse Staffing Hours per Resident per Day
4.59109
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17209
Expected CNA Staffing Hours per Resident per Day
2.48741
Expected LPN Staffing Hours per Resident per Day
0.66727
Expected RN Staffing Hours per Resident per Day
1.14447
Expected Total Nurse Staffing Hours per Resident per Day
4.29916
Adjusted CNA Staffing Hours per Resident per Day
2.53838
Adjusted LPN Staffing Hours per Resident per Day
1.54229
Adjusted RN Staffing Hours per Resident per Day
0.50788
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30462
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
6
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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