Sunnyvale Health Care Center - Sunnyvale Nursing Home
General Information
UPDATEFederal Provider Number
555792
Provider Name
SUNNYVALE HEALTH CARE CENTER
Provider Address
1291 S BERNARDO AVENUE
SUNNYVALE, CA 94087
SUNNYVALE, CA 94087
Provider Phone Number
(408) 245-8070
Provider SSA County
530
Provider County Name
Santa Clara
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HMC HEALTH CARE INC
Date First Approved to Provide Medicare and Medicaid services
2002-05-06
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.68902
Reported LPN Staffing Hours per Resident per Day
0.75427
Reported RN Staffing Hours per Resident per Day
1.37683
Reported Licensed Staffing Hours per Resident per Day
2.13110
Reported Total Nurse Staffing Hours per Resident per Day
4.82012
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07134
Expected CNA Staffing Hours per Resident per Day
2.60180
Expected LPN Staffing Hours per Resident per Day
0.67898
Expected RN Staffing Hours per Resident per Day
1.16301
Expected Total Nurse Staffing Hours per Resident per Day
4.44379
Adjusted CNA Staffing Hours per Resident per Day
2.53595
Adjusted LPN Staffing Hours per Resident per Day
0.92203
Adjusted RN Staffing Hours per Resident per Day
0.88457
Adjusted Total Nurse Staffing Hours per Resident per Day
4.37226
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-14
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-08-29
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
22.66700
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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