Palm Village Retirement Comm. - Reedley Nursing Home
General Information
UPDATEFederal Provider Number
555513
Provider Name
PALM VILLAGE RETIREMENT COMM.
Provider Address
703 W HERBERT AVE
REEDLEY, CA 93654
REEDLEY, CA 93654
Provider Phone Number
5596386933
Provider SSA County
90
Provider County Name
Fresno
Ownership Type
Non profit - Church related
Number of Certified Beds
120
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MENNONITE BRETHREN HOMES, INC
Date First Approved to Provide Medicare and Medicaid services
1992-04-01
Continuing Care Retirement Community
Y
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
2
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
3.04420
Reported LPN Staffing Hours per Resident per Day
0.71161
Reported RN Staffing Hours per Resident per Day
0.74911
Reported Licensed Staffing Hours per Resident per Day
1.46071
Reported Total Nurse Staffing Hours per Resident per Day
4.50492
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05759
Expected CNA Staffing Hours per Resident per Day
2.52520
Expected LPN Staffing Hours per Resident per Day
0.58086
Expected RN Staffing Hours per Resident per Day
0.86798
Expected Total Nurse Staffing Hours per Resident per Day
3.97403
Adjusted CNA Staffing Hours per Resident per Day
2.95800
Adjusted LPN Staffing Hours per Resident per Day
1.01684
Adjusted RN Staffing Hours per Resident per Day
0.64487
Adjusted Total Nurse Staffing Hours per Resident per Day
4.56938
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-02-28
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-02-14
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
2
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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Sunnyside Conv. Hospital
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