Riverwood Healthcare Center - Stockton Nursing Home

General Information

UPDATE
Federal Provider Number
555496
Provider Name
RIVERWOOD HEALTHCARE CENTER
Provider Address
5320 CARRINGTON CIRCLE
STOCKTON, CA 95210
Provider Phone Number
(209) 473-3004
Provider SSA County
490
Provider County Name
San Joaquin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ASCC LLC
Date First Approved to Provide Medicare and Medicaid services
1992-04-01
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
2
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
2.25938
Reported LPN Staffing Hours per Resident per Day
0.85188
Reported RN Staffing Hours per Resident per Day
1.12313
Reported Licensed Staffing Hours per Resident per Day
1.97500
Reported Total Nurse Staffing Hours per Resident per Day
4.23439
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07375
Expected CNA Staffing Hours per Resident per Day
2.36704
Expected LPN Staffing Hours per Resident per Day
0.59464
Expected RN Staffing Hours per Resident per Day
0.95281
Expected Total Nurse Staffing Hours per Resident per Day
3.91449
Adjusted CNA Staffing Hours per Resident per Day
2.34210
Adjusted LPN Staffing Hours per Resident per Day
1.18905
Adjusted RN Staffing Hours per Resident per Day
0.88076
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36031
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
132
Cycle 2 Standard Health Survey Date
2014-01-24
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
5
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-02-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
104.00000
Number of Facility Reported Incidents
11
Number of Substantiated Complaints
12
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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