Petaluma Post-acute Rehabilitation - Petaluma Nursing Home
General Information
UPDATEFederal Provider Number
56072
Provider Name
PETALUMA POST-ACUTE REHABILITATION
Provider Address
1115 B STREET
PETALUMA, CA 94952
PETALUMA, CA 94952
Provider Phone Number
7077653030
Provider SSA County
590
Provider County Name
Sonoma
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PETALUMA C.C. INC.
Date First Approved to Provide Medicare and Medicaid services
1969-05-22
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
4
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
2.50649
Reported LPN Staffing Hours per Resident per Day
0.57857
Reported RN Staffing Hours per Resident per Day
1.44156
Reported Licensed Staffing Hours per Resident per Day
2.02013
Reported Total Nurse Staffing Hours per Resident per Day
4.52662
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21883
Expected CNA Staffing Hours per Resident per Day
2.42124
Expected LPN Staffing Hours per Resident per Day
0.68502
Expected RN Staffing Hours per Resident per Day
1.38071
Expected Total Nurse Staffing Hours per Resident per Day
4.48697
Adjusted CNA Staffing Hours per Resident per Day
2.54009
Adjusted LPN Staffing Hours per Resident per Day
0.70102
Adjusted RN Staffing Hours per Resident per Day
0.78013
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06652
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-12-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-12-23
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
0
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
Nursiong Homes Nearby
Windsor Care Center Of Petaluma
523 Hayes Lane |
PETALUMA CA 94952 | 0.1 mile away
Oaks, The
450 Hayes Lane |
PETALUMA CA 94952 | 0.1 mile away
Empres Post Acute Rehabilitation
300 Douglas Street |
PETALUMA CA 94952 | 0.4 mile away
Golden Livingcenter - Petaluma
101 Monroe Street |
PETALUMA CA 94954 | 2.5 miles away
Sonoma Valley Hospital Dp/snf
347 Andrieux St |
SONOMA CA 95476 | 10.8 miles away
Broadway Villa Post Acute
1250 Broadway |
SONOMA CA 95476 | 10.9 miles away
Golden Livingcenter - London House Sonoma
678 2nd Street West |
SONOMA CA 95476 | 11 miles away
Santa Rosa Convalescent Hosp
446 Arrowood Dr |
SANTA ROSA CA 95407 | 14.3 miles away
Fircrest Convalescent Hospital
7025 Corline Court |
SEBASTOPOL CA 95472 | 14.7 miles away
Apple Valley Post-acute Rehab
1035 Gravenstein Hwy South |
SEBASTOPOL CA 95472 | 14.8 miles away
Golden Livingcenter Santa Rosa
4650 Hoen Avenue |
SANTA ROSA CA 95405 | 15.2 miles away
Creekside Rehabilitation & Behavioral Health
850 Sonoma Ave |
SANTA ROSA CA 95404 | 15.3 miles away
Summerfield Health Care Center
1280 Summerfield Rd |
SANTA ROSA CA 95405 | 15.5 miles away
Park View Post Acute
3751 Montgomery Dr |
SANTA ROSA CA 95405 | 16.1 miles away
Spring Lake Village
5555 Montgomery Drive |
SANTA ROSA CA 95409 | 16.3 miles away
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