The Terraces At Los Altos Health Facility - Los Altos Nursing Home
General Information
UPDATEFederal Provider Number
55210
Provider Name
THE TERRACES AT LOS ALTOS HEALTH FACILITY
Provider Address
373 PINE LANE
LOS ALTOS, CA 94022
LOS ALTOS, CA 94022
Provider Phone Number
(650) 948-8291
Provider SSA County
530
Provider County Name
Santa Clara
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
28
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMERICAN BAPTIST HOMES OF THE WEST
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
3
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
2.97857
Reported LPN Staffing Hours per Resident per Day
0.10179
Reported RN Staffing Hours per Resident per Day
1.38750
Reported Licensed Staffing Hours per Resident per Day
1.48929
Reported Total Nurse Staffing Hours per Resident per Day
4.46786
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17143
Expected CNA Staffing Hours per Resident per Day
2.70343
Expected LPN Staffing Hours per Resident per Day
0.58238
Expected RN Staffing Hours per Resident per Day
0.93150
Expected Total Nurse Staffing Hours per Resident per Day
4.21730
Adjusted CNA Staffing Hours per Resident per Day
2.70343
Adjusted LPN Staffing Hours per Resident per Day
0.14507
Adjusted RN Staffing Hours per Resident per Day
1.11298
Adjusted Total Nurse Staffing Hours per Resident per Day
4.27039
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-08-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
44.00000
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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