Shadowbrook Health Care - Oroville Nursing Home
General Information
UPDATEFederal Provider Number
55612
Provider Name
SHADOWBROOK HEALTH CARE
Provider Address
1 GILMORE LANE
OROVILLE, CA 95966
OROVILLE, CA 95966
Provider Phone Number
(530) 534-1353
Provider SSA County
30
Provider County Name
Butte
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHADOWBROOK HEALTH CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1980-05-01
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.47143
Reported LPN Staffing Hours per Resident per Day
0.92738
Reported RN Staffing Hours per Resident per Day
0.57143
Reported Licensed Staffing Hours per Resident per Day
1.49881
Reported Total Nurse Staffing Hours per Resident per Day
3.97024
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.23687
Expected LPN Staffing Hours per Resident per Day
0.57838
Expected RN Staffing Hours per Resident per Day
0.95552
Expected Total Nurse Staffing Hours per Resident per Day
3.77077
Adjusted CNA Staffing Hours per Resident per Day
2.71100
Adjusted LPN Staffing Hours per Resident per Day
1.33083
Adjusted RN Staffing Hours per Resident per Day
0.44685
Adjusted Total Nurse Staffing Hours per Resident per Day
4.24413
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
132
Cycle 2 Standard Health Survey Date
2013-12-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
132
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-11-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
85.33300
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
2
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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