Park View Post Acute - Santa Rosa Nursing Home
General Information
UPDATEFederal Provider Number
56411
Provider Name
PARK VIEW POST ACUTE
Provider Address
3751 MONTGOMERY DR
SANTA ROSA, CA 95405
SANTA ROSA, CA 95405
Provider Phone Number
(707) 525-1250
Provider SSA County
590
Provider County Name
Sonoma
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
116
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ENSIGN MONTGOMERY LLC
Date First Approved to Provide Medicare and Medicaid services
1975-02-01
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
3
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
3.25000
Reported LPN Staffing Hours per Resident per Day
0.54946
Reported RN Staffing Hours per Resident per Day
1.29348
Reported Licensed Staffing Hours per Resident per Day
1.84293
Reported Total Nurse Staffing Hours per Resident per Day
5.09294
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17554
Expected CNA Staffing Hours per Resident per Day
2.45881
Expected LPN Staffing Hours per Resident per Day
0.64928
Expected RN Staffing Hours per Resident per Day
1.14362
Expected Total Nurse Staffing Hours per Resident per Day
4.25171
Adjusted CNA Staffing Hours per Resident per Day
3.24324
Adjusted LPN Staffing Hours per Resident per Day
0.70240
Adjusted RN Staffing Hours per Resident per Day
0.84511
Adjusted Total Nurse Staffing Hours per Resident per Day
4.82844
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
24
Cycle 1 Standard Survey Health Date
2014-10-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-11-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-10-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
13
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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