Selma Convalescent Hospital - Selma Nursing Home
General Information
UPDATEFederal Provider Number
05A205
Provider Name
SELMA CONVALESCENT HOSPITAL
Provider Address
2108 STILLMAN
SELMA, CA 93662
SELMA, CA 93662
Provider Phone Number
(559) 896-4990
Provider SSA County
90
Provider County Name
Fresno
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
34
Number of Residents in Certified Beds
31
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-04-01
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
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
2.31613
Reported LPN Staffing Hours per Resident per Day
1.01774
Reported RN Staffing Hours per Resident per Day
0.18387
Reported Licensed Staffing Hours per Resident per Day
1.20161
Reported Total Nurse Staffing Hours per Resident per Day
3.51774
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.43559
Expected LPN Staffing Hours per Resident per Day
0.51688
Expected RN Staffing Hours per Resident per Day
0.75113
Expected Total Nurse Staffing Hours per Resident per Day
3.70360
Adjusted CNA Staffing Hours per Resident per Day
2.33335
Adjusted LPN Staffing Hours per Resident per Day
1.63427
Adjusted RN Staffing Hours per Resident per Day
0.18291
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82861
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2013-05-30
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-07-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
2
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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