Palo Alto Sub-acute And Rehabilitation Center - Palo Alto Nursing Home

General Information

UPDATE
Federal Provider Number
55646
Provider Name
PALO ALTO SUB-ACUTE AND REHABILITATION CENTER
Provider Address
911 BRYANT STREET
PALO ALTO, CA 94301
Provider Phone Number
6503270511
Provider SSA County
530
Provider County Name
Santa Clara
Ownership Type
For profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
58
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
1971-10-23
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
1.97414
Reported LPN Staffing Hours per Resident per Day
0.41810
Reported RN Staffing Hours per Resident per Day
1.45517
Reported Licensed Staffing Hours per Resident per Day
1.87328
Reported Total Nurse Staffing Hours per Resident per Day
3.84741
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17845
Expected CNA Staffing Hours per Resident per Day
2.71545
Expected LPN Staffing Hours per Resident per Day
0.76438
Expected RN Staffing Hours per Resident per Day
1.35669
Expected Total Nurse Staffing Hours per Resident per Day
4.83652
Adjusted CNA Staffing Hours per Resident per Day
1.78385
Adjusted LPN Staffing Hours per Resident per Day
0.45400
Adjusted RN Staffing Hours per Resident per Day
0.80144
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20655
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-03-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
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
8
Cycle 2 Standard Health Survey Date
2013-03-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
58.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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