Oaks, The - Petaluma Nursing Home
General Information
UPDATEFederal Provider Number
555127
Provider Name
OAKS, THE
Provider Address
450 HAYES LANE
PETALUMA, CA 94952
PETALUMA, CA 94952
Provider Phone Number
(707) 778-8686
Provider SSA County
590
Provider County Name
Sonoma
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OAK KNOLL CONVALESCENT CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1980-06-27
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
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
2.81864
Reported LPN Staffing Hours per Resident per Day
0.65593
Reported RN Staffing Hours per Resident per Day
0.67797
Reported Licensed Staffing Hours per Resident per Day
1.33390
Reported Total Nurse Staffing Hours per Resident per Day
4.15254
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03644
Expected CNA Staffing Hours per Resident per Day
2.41517
Expected LPN Staffing Hours per Resident per Day
0.49856
Expected RN Staffing Hours per Resident per Day
0.66279
Expected Total Nurse Staffing Hours per Resident per Day
3.57652
Adjusted CNA Staffing Hours per Resident per Day
2.86360
Adjusted LPN Staffing Hours per Resident per Day
1.09199
Adjusted RN Staffing Hours per Resident per Day
0.76431
Adjusted Total Nurse Staffing Hours per Resident per Day
4.68010
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-11-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-11-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
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
16
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
50.66700
Number of Facility Reported Incidents
0
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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