Saratoga Retirement Community Health Center - Saratoga Nursing Home

General Information

UPDATE
Federal Provider Number
555343
Provider Name
SARATOGA RETIREMENT COMMUNITY HEALTH CENTER
Provider Address
14500 FRUITVALE AVENUE
SARATOGA, CA 95070
Provider Phone Number
4087417200
Provider SSA County
530
Provider County Name
Santa Clara
Ownership Type
Non profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ODD FELLOWS HOME OF CALIFORNIA
Date First Approved to Provide Medicare and Medicaid services
1988-11-01
Continuing Care Retirement Community
Y
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
2.56139
Reported LPN Staffing Hours per Resident per Day
0.68544
Reported RN Staffing Hours per Resident per Day
0.63734
Reported Licensed Staffing Hours per Resident per Day
1.32278
Reported Total Nurse Staffing Hours per Resident per Day
3.88417
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10823
Expected CNA Staffing Hours per Resident per Day
2.43459
Expected LPN Staffing Hours per Resident per Day
0.61973
Expected RN Staffing Hours per Resident per Day
0.91577
Expected Total Nurse Staffing Hours per Resident per Day
3.97009
Adjusted CNA Staffing Hours per Resident per Day
2.58149
Adjusted LPN Staffing Hours per Resident per Day
0.91801
Adjusted RN Staffing Hours per Resident per Day
0.52002
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94366
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-11-18
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
16
Cycle 2 Standard Health Survey Date
2013-11-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
8.00000
Number of Facility Reported Incidents
1
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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