Raintree Convalescent Hospital - Fresno Nursing Home
General Information
UPDATEFederal Provider Number
05A183
Provider Name
RAINTREE CONVALESCENT HOSPITAL
Provider Address
5265 EAST HUNTINGTON AVENUE
FRESNO, CA 93727
FRESNO, CA 93727
Provider Phone Number
(559) 251-8244
Provider SSA County
90
Provider County Name
Fresno
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
48
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.34896
Reported LPN Staffing Hours per Resident per Day
1.10104
Reported RN Staffing Hours per Resident per Day
0.11875
Reported Licensed Staffing Hours per Resident per Day
1.21979
Reported Total Nurse Staffing Hours per Resident per Day
3.56875
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.07576
Expected LPN Staffing Hours per Resident per Day
0.51663
Expected RN Staffing Hours per Resident per Day
0.66802
Expected Total Nurse Staffing Hours per Resident per Day
3.26042
Adjusted CNA Staffing Hours per Resident per Day
2.77664
Adjusted LPN Staffing Hours per Resident per Day
1.76889
Adjusted RN Staffing Hours per Resident per Day
0.13283
Adjusted Total Nurse Staffing Hours per Resident per Day
4.41210
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-02-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-03-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
76.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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