Spring Hill Manor - Grass Valley Nursing Home
General Information
UPDATEFederal Provider Number
55640
Provider Name
SPRING HILL MANOR
Provider Address
355 JOERSCHKE DR
GRASS VALLEY, CA 95945
GRASS VALLEY, CA 95945
Provider Phone Number
(530) 273-7247
Provider SSA County
390
Provider County Name
Nevada
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
86
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SPRING HILL MANOR REHABILITATION AND CONVALESCENT HOSPITAL INC
Date First Approved to Provide Medicare and Medicaid services
1968-01-02
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
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.78049
Reported LPN Staffing Hours per Resident per Day
1.17012
Reported RN Staffing Hours per Resident per Day
0.26646
Reported Licensed Staffing Hours per Resident per Day
1.43659
Reported Total Nurse Staffing Hours per Resident per Day
4.21707
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15915
Expected CNA Staffing Hours per Resident per Day
2.48780
Expected LPN Staffing Hours per Resident per Day
0.59008
Expected RN Staffing Hours per Resident per Day
0.95914
Expected Total Nurse Staffing Hours per Resident per Day
4.03701
Adjusted CNA Staffing Hours per Resident per Day
2.74238
Adjusted LPN Staffing Hours per Resident per Day
1.64589
Adjusted RN Staffing Hours per Resident per Day
0.20758
Adjusted Total Nurse Staffing Hours per Resident per Day
4.21068
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-05-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-04-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
40.66700
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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