Pacific Gardens Nursing & Reha - Fresno Nursing Home
General Information
UPDATEFederal Provider Number
56207
Provider Name
PACIFIC GARDENS NURSING & REHA
Provider Address
577 S. PEACH AVE.
FRESNO, CA 93727
FRESNO, CA 93727
Provider Phone Number
(209) 251-8463
Provider SSA County
90
Provider County Name
Fresno
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
168
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT CARE CALIFORNIA, LLC
Date First Approved to Provide Medicare and Medicaid services
1970-07-06
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
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35030
Reported LPN Staffing Hours per Resident per Day
0.58363
Reported RN Staffing Hours per Resident per Day
0.71131
Reported Licensed Staffing Hours per Resident per Day
1.29494
Reported Total Nurse Staffing Hours per Resident per Day
3.64524
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09702
Expected CNA Staffing Hours per Resident per Day
2.54483
Expected LPN Staffing Hours per Resident per Day
0.63165
Expected RN Staffing Hours per Resident per Day
1.00117
Expected Total Nurse Staffing Hours per Resident per Day
4.17765
Adjusted CNA Staffing Hours per Resident per Day
2.26614
Adjusted LPN Staffing Hours per Resident per Day
0.76690
Adjusted RN Staffing Hours per Resident per Day
0.53087
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51720
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-08-08
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
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
0
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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