Santa Rosa Convalescent Hosp - Santa Rosa Nursing Home
General Information
UPDATEFederal Provider Number
56259
Provider Name
SANTA ROSA CONVALESCENT HOSP
Provider Address
446 ARROWOOD DR
SANTA ROSA, CA 95407
SANTA ROSA, CA 95407
Provider Phone Number
(707) 528-2100
Provider SSA County
590
Provider County Name
Sonoma
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
62
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ASHLEY LTC INC
Date First Approved to Provide Medicare and Medicaid services
1971-01-10
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.69113
Reported LPN Staffing Hours per Resident per Day
0.65081
Reported RN Staffing Hours per Resident per Day
0.24355
Reported Licensed Staffing Hours per Resident per Day
0.89435
Reported Total Nurse Staffing Hours per Resident per Day
3.58549
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02097
Expected CNA Staffing Hours per Resident per Day
2.40206
Expected LPN Staffing Hours per Resident per Day
0.52127
Expected RN Staffing Hours per Resident per Day
0.70079
Expected Total Nurse Staffing Hours per Resident per Day
3.62412
Adjusted CNA Staffing Hours per Resident per Day
2.74898
Adjusted LPN Staffing Hours per Resident per Day
1.03626
Adjusted RN Staffing Hours per Resident per Day
0.25968
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98793
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-02-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-02-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
32.66700
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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