Valley Convalescent Hospital - Watsonville Nursing Home
General Information
UPDATEFederal Provider Number
56178
Provider Name
VALLEY CONVALESCENT HOSPITAL
Provider Address
919 FREEDOM BLVD
WATSONVILLE, CA 95076
WATSONVILLE, CA 95076
Provider Phone Number
(831) 722-3581
Provider SSA County
540
Provider County Name
Santa Cruz
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WEST COAST HOSPITALS INC
Date First Approved to Provide Medicare and Medicaid services
1970-03-24
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
4
Overall Rating Footnote
Health Inspection Rating
4
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
2.94340
Reported LPN Staffing Hours per Resident per Day
0.70849
Reported RN Staffing Hours per Resident per Day
0.70094
Reported Licensed Staffing Hours per Resident per Day
1.40943
Reported Total Nurse Staffing Hours per Resident per Day
4.35283
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21604
Expected CNA Staffing Hours per Resident per Day
2.72692
Expected LPN Staffing Hours per Resident per Day
0.66545
Expected RN Staffing Hours per Resident per Day
1.00772
Expected Total Nurse Staffing Hours per Resident per Day
4.40009
Adjusted CNA Staffing Hours per Resident per Day
2.64849
Adjusted LPN Staffing Hours per Resident per Day
0.88368
Adjusted RN Staffing Hours per Resident per Day
0.51973
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98760
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-11-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
13
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
14
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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