Ukiah Post Acute - Ukiah Nursing Home
General Information
UPDATEFederal Provider Number
55734
Provider Name
UKIAH POST ACUTE
Provider Address
1349 SOUTH DORA ST.
UKIAH, CA 95482
UKIAH, CA 95482
Provider Phone Number
(707) 462-8864
Provider SSA County
330
Provider County Name
Mendocino
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
57
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ENSIGN PLEASANTON LLC
Date First Approved to Provide Medicare and Medicaid services
1967-04-12
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.63889
Reported LPN Staffing Hours per Resident per Day
0.79444
Reported RN Staffing Hours per Resident per Day
0.98889
Reported Licensed Staffing Hours per Resident per Day
1.78333
Reported Total Nurse Staffing Hours per Resident per Day
4.42222
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21111
Expected CNA Staffing Hours per Resident per Day
2.37416
Expected LPN Staffing Hours per Resident per Day
0.60918
Expected RN Staffing Hours per Resident per Day
1.09644
Expected Total Nurse Staffing Hours per Resident per Day
4.07977
Adjusted CNA Staffing Hours per Resident per Day
2.72730
Adjusted LPN Staffing Hours per Resident per Day
1.08242
Adjusted RN Staffing Hours per Resident per Day
0.67391
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36925
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2015-01-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-12-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
64.66700
Number of Facility Reported Incidents
4
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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