Silver Oak Manor - Livermore Nursing Home
General Information
UPDATEFederal Provider Number
555399
Provider Name
SILVER OAK MANOR
Provider Address
788 HOLMES STREET
LIVERMORE, CA 94550
LIVERMORE, CA 94550
Provider Phone Number
(925) 447-2280
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
37
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SILVER OAK HEALTH SERVICES, INC
Date First Approved to Provide Medicare and Medicaid services
1989-07-26
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
2.99412
Reported LPN Staffing Hours per Resident per Day
0.66324
Reported RN Staffing Hours per Resident per Day
0.62941
Reported Licensed Staffing Hours per Resident per Day
1.29265
Reported Total Nurse Staffing Hours per Resident per Day
4.28677
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00882
Expected CNA Staffing Hours per Resident per Day
2.68772
Expected LPN Staffing Hours per Resident per Day
0.61998
Expected RN Staffing Hours per Resident per Day
0.81540
Expected Total Nurse Staffing Hours per Resident per Day
4.12310
Adjusted CNA Staffing Hours per Resident per Day
2.73343
Adjusted LPN Staffing Hours per Resident per Day
0.88791
Adjusted RN Staffing Hours per Resident per Day
0.57677
Adjusted Total Nurse Staffing Hours per Resident per Day
4.19091
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
2014-09-18
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-08-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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