University Retirement Community At Davis - Davis Nursing Home
General Information
UPDATEFederal Provider Number
555769
Provider Name
UNIVERSITY RETIREMENT COMMUNITY AT DAVIS
Provider Address
1515 SHASTA DRIVE
DAVIS, CA 95616
DAVIS, CA 95616
Provider Phone Number
(530) 747-7000
Provider SSA County
670
Provider County Name
Yolo
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
37
Number of Residents in Certified Beds
35
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
UNIVERSITY RETIREMENT COMMUNITY AT DAVIS
Date First Approved to Provide Medicare and Medicaid services
2001-04-16
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
3
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
2.74857
Reported LPN Staffing Hours per Resident per Day
0.60000
Reported RN Staffing Hours per Resident per Day
1.20714
Reported Licensed Staffing Hours per Resident per Day
1.80714
Reported Total Nurse Staffing Hours per Resident per Day
4.55571
Reported Physical Therapist Staffing Hours per Resident Per Day
0.53286
Expected CNA Staffing Hours per Resident per Day
2.45414
Expected LPN Staffing Hours per Resident per Day
0.58024
Expected RN Staffing Hours per Resident per Day
0.93191
Expected Total Nurse Staffing Hours per Resident per Day
3.96629
Adjusted CNA Staffing Hours per Resident per Day
2.74807
Adjusted LPN Staffing Hours per Resident per Day
0.85827
Adjusted RN Staffing Hours per Resident per Day
0.96788
Adjusted Total Nurse Staffing Hours per Resident per Day
4.62992
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-01-23
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
20
Cycle 3 Standard Health Survey Date
2013-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
10.66700
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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