Sonoma Valley Hospital Dp/snf - Sonoma Nursing Home
General Information
UPDATEFederal Provider Number
555258
Provider Name
SONOMA VALLEY HOSPITAL DP/SNF
Provider Address
347 ANDRIEUX ST
SONOMA, CA 95476
SONOMA, CA 95476
Provider Phone Number
(707) 935-5122
Provider SSA County
590
Provider County Name
Sonoma
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
27
Number of Residents in Certified Beds
19
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
SONOMA VALLEY HEALTH CARE DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1986-12-19
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
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.99474
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
5.08158
Reported Licensed Staffing Hours per Resident per Day
5.08158
Reported Total Nurse Staffing Hours per Resident per Day
10.07632
Reported Physical Therapist Staffing Hours per Resident Per Day
0.45000
Expected CNA Staffing Hours per Resident per Day
2.52847
Expected LPN Staffing Hours per Resident per Day
0.94102
Expected RN Staffing Hours per Resident per Day
1.71142
Expected Total Nurse Staffing Hours per Resident per Day
5.18090
Adjusted CNA Staffing Hours per Resident per Day
4.84704
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
2.21860
Adjusted Total Nurse Staffing Hours per Resident per Day
7.83968
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-10-24
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-11-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
0
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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