Pacific Hills Manor - Morgan Hill Nursing Home
General Information
UPDATEFederal Provider Number
56037
Provider Name
PACIFIC HILLS MANOR
Provider Address
370 NOBLE COURT
MORGAN HILL, CA 95037
MORGAN HILL, CA 95037
Provider Phone Number
(408) 779-7346
Provider SSA County
530
Provider County Name
Santa Clara
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT CARE MORGAN HILL, LLC
Date First Approved to Provide Medicare and Medicaid services
1969-03-21
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.48976
Reported LPN Staffing Hours per Resident per Day
0.83373
Reported RN Staffing Hours per Resident per Day
0.94337
Reported Licensed Staffing Hours per Resident per Day
1.77711
Reported Total Nurse Staffing Hours per Resident per Day
4.26686
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11386
Expected CNA Staffing Hours per Resident per Day
2.65553
Expected LPN Staffing Hours per Resident per Day
0.67400
Expected RN Staffing Hours per Resident per Day
1.08465
Expected Total Nurse Staffing Hours per Resident per Day
4.41418
Adjusted CNA Staffing Hours per Resident per Day
2.30053
Adjusted LPN Staffing Hours per Resident per Day
1.02670
Adjusted RN Staffing Hours per Resident per Day
0.64987
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89637
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-09-19
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
20
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-11-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
112
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-10-01
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
76.66700
Number of Facility Reported Incidents
14
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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