Sherwood Oaks Health Center - Fort Bragg Nursing Home
General Information
UPDATEFederal Provider Number
56483
Provider Name
SHERWOOD OAKS HEALTH CENTER
Provider Address
130 DANA STREET
FORT BRAGG, CA 95437
FORT BRAGG, CA 95437
Provider Phone Number
(707) 964-6333
Provider SSA County
330
Provider County Name
Mendocino
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
79
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHERWOOD OAKS ENTERPRISES, INC.
Date First Approved to Provide Medicare and Medicaid services
1978-12-01
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
3
Health Inspection Rating Footnote
QM Rating
4
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
2.55890
Reported LPN Staffing Hours per Resident per Day
0.57671
Reported RN Staffing Hours per Resident per Day
0.60685
Reported Licensed Staffing Hours per Resident per Day
1.18356
Reported Total Nurse Staffing Hours per Resident per Day
3.74246
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07808
Expected CNA Staffing Hours per Resident per Day
2.47698
Expected LPN Staffing Hours per Resident per Day
0.55765
Expected RN Staffing Hours per Resident per Day
0.83231
Expected Total Nurse Staffing Hours per Resident per Day
3.86694
Adjusted CNA Staffing Hours per Resident per Day
2.53485
Adjusted LPN Staffing Hours per Resident per Day
0.85836
Adjusted RN Staffing Hours per Resident per Day
0.54480
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90114
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-07-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-06-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
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
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
6
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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