San Luis Care Center - Newman Nursing Home
General Information
UPDATEFederal Provider Number
55839
Provider Name
SAN LUIS CARE CENTER
Provider Address
709 N STREET
NEWMAN, CA 95360
NEWMAN, CA 95360
Provider Phone Number
(209) 862-2862
Provider SSA County
600
Provider County Name
Stanislaus
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
19
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVALON CARE CENTER-NEWMAN, LLC
Date First Approved to Provide Medicare and Medicaid services
1969-08-01
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
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.33644
Reported LPN Staffing Hours per Resident per Day
0.74407
Reported RN Staffing Hours per Resident per Day
0.50254
Reported Licensed Staffing Hours per Resident per Day
1.24661
Reported Total Nurse Staffing Hours per Resident per Day
3.58305
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09068
Expected CNA Staffing Hours per Resident per Day
2.46067
Expected LPN Staffing Hours per Resident per Day
0.60381
Expected RN Staffing Hours per Resident per Day
0.85199
Expected Total Nurse Staffing Hours per Resident per Day
3.91648
Adjusted CNA Staffing Hours per Resident per Day
2.32982
Adjusted LPN Staffing Hours per Resident per Day
1.02280
Adjusted RN Staffing Hours per Resident per Day
0.44073
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68773
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-04-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-05-13
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-05-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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