Piedmont Gardens Health Facility - Oakland Nursing Home
General Information
UPDATEFederal Provider Number
56096
Provider Name
PIEDMONT GARDENS HEALTH FACILITY
Provider Address
110 41ST STREET
OAKLAND, CA 94611
OAKLAND, CA 94611
Provider Phone Number
(510) 654-7172
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMERICAN BAPTIST HOMES OF THE WEST
Date First Approved to Provide Medicare and Medicaid services
1969-07-07
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.80183
Reported LPN Staffing Hours per Resident per Day
0.31951
Reported RN Staffing Hours per Resident per Day
0.97927
Reported Licensed Staffing Hours per Resident per Day
1.29878
Reported Total Nurse Staffing Hours per Resident per Day
4.10061
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18293
Expected CNA Staffing Hours per Resident per Day
2.39016
Expected LPN Staffing Hours per Resident per Day
0.61140
Expected RN Staffing Hours per Resident per Day
1.04049
Expected Total Nurse Staffing Hours per Resident per Day
4.04204
Adjusted CNA Staffing Hours per Resident per Day
2.87632
Adjusted LPN Staffing Hours per Resident per Day
0.43375
Adjusted RN Staffing Hours per Resident per Day
0.70324
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08930
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2012-12-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2011-09-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
5
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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