San Jose Healthcare & Wellness Center - San Jose Nursing Home
General Information
UPDATEFederal Provider Number
55388
Provider Name
SAN JOSE HEALTHCARE & WELLNESS CENTER
Provider Address
75 N. 13TH STREET
SAN JOSE, CA 95112
SAN JOSE, CA 95112
Provider Phone Number
(408) 295-2665
Provider SSA County
530
Provider County Name
Santa Clara
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
58
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOLNUS SIX, LLC
Date First Approved to Provide Medicare and Medicaid services
1975-12-31
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.21415
Reported LPN Staffing Hours per Resident per Day
0.52642
Reported RN Staffing Hours per Resident per Day
1.13491
Reported Licensed Staffing Hours per Resident per Day
1.66132
Reported Total Nurse Staffing Hours per Resident per Day
3.87548
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17547
Expected CNA Staffing Hours per Resident per Day
2.34999
Expected LPN Staffing Hours per Resident per Day
0.65789
Expected RN Staffing Hours per Resident per Day
1.23218
Expected Total Nurse Staffing Hours per Resident per Day
4.24006
Adjusted CNA Staffing Hours per Resident per Day
2.31186
Adjusted LPN Staffing Hours per Resident per Day
0.66414
Adjusted RN Staffing Hours per Resident per Day
0.68821
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68430
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-01-22
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
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-04-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2013-05-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
124
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
15
Number of Substantiated Complaints
2
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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