Our Lady Of Fatima Villa - Saratoga Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
55435
Provider Name
OUR LADY OF FATIMA VILLA
Provider Address
20400 SARATOGA-LOS GATOS RD
SARATOGA, CA 95070
SARATOGA, CA 95070
Provider Phone Number
(408) 741-2950
Provider SSA County
530
Provider County Name
Santa Clara
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
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
2.97206
Reported LPN Staffing Hours per Resident per Day
0.52426
Reported RN Staffing Hours per Resident per Day
1.08309
Reported Licensed Staffing Hours per Resident per Day
1.60735
Reported Total Nurse Staffing Hours per Resident per Day
4.57941
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11838
Expected CNA Staffing Hours per Resident per Day
2.64855
Expected LPN Staffing Hours per Resident per Day
0.55415
Expected RN Staffing Hours per Resident per Day
0.77732
Expected Total Nurse Staffing Hours per Resident per Day
3.98002
Adjusted CNA Staffing Hours per Resident per Day
2.75341
Adjusted LPN Staffing Hours per Resident per Day
0.78523
Adjusted RN Staffing Hours per Resident per Day
1.04113
Adjusted Total Nurse Staffing Hours per Resident per Day
4.63795
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-05-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-05-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
17.33300
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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