Tracy Nursing And Rehabilitation Center - Tracy Nursing Home

General Information

UPDATE
Federal Provider Number
555080
Provider Name
TRACY NURSING AND REHABILITATION CENTER
Provider Address
545 WEST BEVERLY PLACE
TRACY, CA 95376
Provider Phone Number
(209) 835-6034
Provider SSA County
490
Provider County Name
San Joaquin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ATMC LLC
Date First Approved to Provide Medicare and Medicaid services
1978-02-01
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
5
Health Inspection Rating Footnote
QM Rating
4
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
2.76765
Reported LPN Staffing Hours per Resident per Day
1.13333
Reported RN Staffing Hours per Resident per Day
0.96471
Reported Licensed Staffing Hours per Resident per Day
2.09804
Reported Total Nurse Staffing Hours per Resident per Day
4.86569
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22353
Expected CNA Staffing Hours per Resident per Day
2.51723
Expected LPN Staffing Hours per Resident per Day
0.65371
Expected RN Staffing Hours per Resident per Day
1.16725
Expected Total Nurse Staffing Hours per Resident per Day
4.33818
Adjusted CNA Staffing Hours per Resident per Day
2.69780
Adjusted LPN Staffing Hours per Resident per Day
1.43897
Adjusted RN Staffing Hours per Resident per Day
0.61755
Adjusted Total Nurse Staffing Hours per Resident per Day
4.52104
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-04-10
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
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-04-10
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
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-07-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
3
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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