Vacaville Convalescent & Rehab - Vacaville Nursing Home
General Information
UPDATEFederal Provider Number
555349
Provider Name
VACAVILLE CONVALESCENT & REHAB
Provider Address
585 NUT TREE COURT
VACAVILLE, CA 95687
VACAVILLE, CA 95687
Provider Phone Number
(707) 449-8000
Provider SSA County
580
Provider County Name
Solano
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VACAVILLE HEALTHCARE INC
Date First Approved to Provide Medicare and Medicaid services
1989-04-20
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
4
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
3.07451
Reported LPN Staffing Hours per Resident per Day
0.63725
Reported RN Staffing Hours per Resident per Day
1.13431
Reported Licensed Staffing Hours per Resident per Day
1.77157
Reported Total Nurse Staffing Hours per Resident per Day
4.84607
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18186
Expected CNA Staffing Hours per Resident per Day
2.52123
Expected LPN Staffing Hours per Resident per Day
0.66513
Expected RN Staffing Hours per Resident per Day
1.09406
Expected Total Nurse Staffing Hours per Resident per Day
4.28042
Adjusted CNA Staffing Hours per Resident per Day
2.99216
Adjusted LPN Staffing Hours per Resident per Day
0.79521
Adjusted RN Staffing Hours per Resident per Day
0.77469
Adjusted Total Nurse Staffing Hours per Resident per Day
4.56358
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2015-01-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-11-22
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-10-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
67.33300
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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