Redwood Cove Healthcare Center - Ukiah Nursing Home
General Information
UPDATEFederal Provider Number
55853
Provider Name
REDWOOD COVE HEALTHCARE CENTER
Provider Address
1162 S DORA ST.
UKIAH, CA 95482
UKIAH, CA 95482
Provider Phone Number
(707) 462-1436
Provider SSA County
330
Provider County Name
Mendocino
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NIGHTSHADE HOLDINGS, LLC
Date First Approved to Provide Medicare and Medicaid services
1968-09-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.23621
Reported LPN Staffing Hours per Resident per Day
0.52241
Reported RN Staffing Hours per Resident per Day
0.83190
Reported Licensed Staffing Hours per Resident per Day
1.35431
Reported Total Nurse Staffing Hours per Resident per Day
3.59052
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19655
Expected CNA Staffing Hours per Resident per Day
2.42604
Expected LPN Staffing Hours per Resident per Day
0.62151
Expected RN Staffing Hours per Resident per Day
0.98299
Expected Total Nurse Staffing Hours per Resident per Day
4.03054
Adjusted CNA Staffing Hours per Resident per Day
2.26170
Adjusted LPN Staffing Hours per Resident per Day
0.69766
Adjusted RN Staffing Hours per Resident per Day
0.63235
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59084
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2015-02-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
132
Cycle 2 Standard Health Survey Date
2014-01-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
132
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2013-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
102.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
19
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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