San Leandro Healthcare Center - San Leandro Nursing Home
General Information
UPDATEFederal Provider Number
56345
Provider Name
SAN LEANDRO HEALTHCARE CENTER
Provider Address
368 JUANA AVENUE
SAN LEANDRO, CA 94577
SAN LEANDRO, CA 94577
Provider Phone Number
(510) 357-4015
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SAN LEANDRO HEALTH CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1972-09-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.56604
Reported LPN Staffing Hours per Resident per Day
0.51226
Reported RN Staffing Hours per Resident per Day
0.98396
Reported Licensed Staffing Hours per Resident per Day
1.49623
Reported Total Nurse Staffing Hours per Resident per Day
4.06226
Reported Physical Therapist Staffing Hours per Resident Per Day
0.43019
Expected CNA Staffing Hours per Resident per Day
2.31360
Expected LPN Staffing Hours per Resident per Day
0.61651
Expected RN Staffing Hours per Resident per Day
1.19582
Expected Total Nurse Staffing Hours per Resident per Day
4.12593
Adjusted CNA Staffing Hours per Resident per Day
2.72143
Adjusted LPN Staffing Hours per Resident per Day
0.68965
Adjusted RN Staffing Hours per Resident per Day
0.61482
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96870
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-01-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-12-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
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
12
Cycle 3 Standard Health Survey Date
2012-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
0
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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