Summerfield Health Care Center - Santa Rosa Nursing Home
General Information
UPDATEFederal Provider Number
56364
Provider Name
SUMMERFIELD HEALTH CARE CENTER
Provider Address
1280 SUMMERFIELD RD
SANTA ROSA, CA 95405
SANTA ROSA, CA 95405
Provider Phone Number
(707) 539-1515
Provider SSA County
590
Provider County Name
Sonoma
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ENSIGN SANTA ROSA LLC
Date First Approved to Provide Medicare and Medicaid services
1972-06-21
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2.66569
Reported LPN Staffing Hours per Resident per Day
0.65392
Reported RN Staffing Hours per Resident per Day
1.00980
Reported Licensed Staffing Hours per Resident per Day
1.66373
Reported Total Nurse Staffing Hours per Resident per Day
4.32941
Reported Physical Therapist Staffing Hours per Resident Per Day
0.49412
Expected CNA Staffing Hours per Resident per Day
2.59717
Expected LPN Staffing Hours per Resident per Day
0.72879
Expected RN Staffing Hours per Resident per Day
1.25584
Expected Total Nurse Staffing Hours per Resident per Day
4.58180
Adjusted CNA Staffing Hours per Resident per Day
2.51844
Adjusted LPN Staffing Hours per Resident per Day
0.74473
Adjusted RN Staffing Hours per Resident per Day
0.60081
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80886
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
12
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
20
Cycle 2 Standard Health Survey Date
2013-06-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
25.33300
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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