Shields Nursing Center - El Cerrito Nursing Home
General Information
UPDATEFederal Provider Number
555364
Provider Name
SHIELDS NURSING CENTER
Provider Address
3230 CARLSON BLVD.
EL CERRITO, CA 94530
EL CERRITO, CA 94530
Provider Phone Number
(510) 525-3212
Provider SSA County
60
Provider County Name
Contra Costa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHIELDS NURSING CENTERS INC
Date First Approved to Provide Medicare and Medicaid services
1989-05-17
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
0
QM Rating Footnote
Data Not Available
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
3.44595
Reported LPN Staffing Hours per Resident per Day
0.21622
Reported RN Staffing Hours per Resident per Day
1.20000
Reported Licensed Staffing Hours per Resident per Day
1.41622
Reported Total Nurse Staffing Hours per Resident per Day
4.86217
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07703
Expected CNA Staffing Hours per Resident per Day
2.40807
Expected LPN Staffing Hours per Resident per Day
0.68589
Expected RN Staffing Hours per Resident per Day
1.28696
Expected Total Nurse Staffing Hours per Resident per Day
4.38093
Adjusted CNA Staffing Hours per Resident per Day
3.51124
Adjusted LPN Staffing Hours per Resident per Day
0.26165
Adjusted RN Staffing Hours per Resident per Day
0.69671
Adjusted Total Nurse Staffing Hours per Resident per Day
4.47369
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-03-21
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
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-02-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2011-12-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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