Vale Healthcare Center - San Pablo Nursing Home
General Information
UPDATEFederal Provider Number
56389
Provider Name
VALE HEALTHCARE CENTER
Provider Address
13484 SAN PABLO AVENUE
SAN PABLO, CA 94806
SAN PABLO, CA 94806
Provider Phone Number
(510) 232-5945
Provider SSA County
60
Provider County Name
Contra Costa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
202
Number of Residents in Certified Beds
176
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRANCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1973-04-13
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.30227
Reported LPN Staffing Hours per Resident per Day
0.69233
Reported RN Staffing Hours per Resident per Day
0.76989
Reported Licensed Staffing Hours per Resident per Day
1.46222
Reported Total Nurse Staffing Hours per Resident per Day
3.76449
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09290
Expected CNA Staffing Hours per Resident per Day
2.51935
Expected LPN Staffing Hours per Resident per Day
0.65816
Expected RN Staffing Hours per Resident per Day
0.98578
Expected Total Nurse Staffing Hours per Resident per Day
4.16328
Adjusted CNA Staffing Hours per Resident per Day
2.24228
Adjusted LPN Staffing Hours per Resident per Day
0.87309
Adjusted RN Staffing Hours per Resident per Day
0.58356
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64479
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-05-16
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
19
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2011-12-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
90.00000
Number of Facility Reported Incidents
9
Number of Substantiated Complaints
15
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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