St Christopher Convalescent Hospital - Hayward Nursing Home
General Information
UPDATEFederal Provider Number
05A347
Provider Name
ST CHRISTOPHER CONVALESCENT HOSPITAL
Provider Address
22822 MYRTLE STREET
HAYWARD, CA 94541
HAYWARD, CA 94541
Provider Phone Number
(510) 537-4844
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
36
Number of Residents in Certified Beds
34
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1982-02-24
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.91765
Reported LPN Staffing Hours per Resident per Day
0.94118
Reported RN Staffing Hours per Resident per Day
0.45294
Reported Licensed Staffing Hours per Resident per Day
1.39412
Reported Total Nurse Staffing Hours per Resident per Day
6.31177
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03382
Expected CNA Staffing Hours per Resident per Day
2.00617
Expected LPN Staffing Hours per Resident per Day
0.57161
Expected RN Staffing Hours per Resident per Day
0.76617
Expected Total Nurse Staffing Hours per Resident per Day
3.34394
Adjusted CNA Staffing Hours per Resident per Day
6.01467
Adjusted LPN Staffing Hours per Resident per Day
1.36663
Adjusted RN Staffing Hours per Resident per Day
0.44173
Adjusted Total Nurse Staffing Hours per Resident per Day
7.60841
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
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
32
Cycle 2 Standard Health Survey Date
2014-01-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
34.66700
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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