Oak Valley Care Center D/p Snf - Oakdale Nursing Home
General Information
UPDATEFederal Provider Number
56155
Provider Name
OAK VALLEY CARE CENTER D/P SNF
Provider Address
275 SOUTH OAK AVENUE
OAKDALE, CA 95361
OAKDALE, CA 95361
Provider Phone Number
2098484159
Provider SSA County
600
Provider County Name
Stanislaus
Ownership Type
Government - Hospital district
Number of Certified Beds
115
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
OAK VALLEY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1971-02-01
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
4
Health Inspection Rating Footnote
QM Rating
4
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
2.74286
Reported LPN Staffing Hours per Resident per Day
0.33112
Reported RN Staffing Hours per Resident per Day
1.37194
Reported Licensed Staffing Hours per Resident per Day
1.70306
Reported Total Nurse Staffing Hours per Resident per Day
4.44592
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13112
Expected CNA Staffing Hours per Resident per Day
2.45358
Expected LPN Staffing Hours per Resident per Day
0.60493
Expected RN Staffing Hours per Resident per Day
0.93894
Expected Total Nurse Staffing Hours per Resident per Day
3.99745
Adjusted CNA Staffing Hours per Resident per Day
2.74299
Adjusted LPN Staffing Hours per Resident per Day
0.45431
Adjusted RN Staffing Hours per Resident per Day
1.09178
Adjusted Total Nurse Staffing Hours per Resident per Day
4.48312
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-03
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-12-05
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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