Sunny View Manor - Cupertino Nursing Home
General Information
UPDATEFederal Provider Number
555342
Provider Name
SUNNY VIEW MANOR
Provider Address
22445 CUPERTINO ROAD
CUPERTINO, CA 95014
CUPERTINO, CA 95014
Provider Phone Number
(408) 253-4300
Provider SSA County
530
Provider County Name
Santa Clara
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRONT PORCH COMMUNITIES AND SERVICES
Date First Approved to Provide Medicare and Medicaid services
1989-07-01
Continuing Care Retirement Community
Y
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
5
Health Inspection Rating Footnote
QM Rating
5
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
2.87750
Reported LPN Staffing Hours per Resident per Day
0.59875
Reported RN Staffing Hours per Resident per Day
1.00375
Reported Licensed Staffing Hours per Resident per Day
1.60250
Reported Total Nurse Staffing Hours per Resident per Day
4.48000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06250
Expected CNA Staffing Hours per Resident per Day
2.49407
Expected LPN Staffing Hours per Resident per Day
0.59236
Expected RN Staffing Hours per Resident per Day
0.92675
Expected Total Nurse Staffing Hours per Resident per Day
4.01319
Adjusted CNA Staffing Hours per Resident per Day
2.83092
Adjusted LPN Staffing Hours per Resident per Day
0.83895
Adjusted RN Staffing Hours per Resident per Day
0.80928
Adjusted Total Nurse Staffing Hours per Resident per Day
4.49977
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
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
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-10-29
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-11-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
20.66700
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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