Valley House Rehabilitation Center - Santa Clara Nursing Home
General Information
UPDATEFederal Provider Number
56069
Provider Name
VALLEY HOUSE REHABILITATION CENTER
Provider Address
991 CLYDE AVENUE
SANTA CLARA, CA 95054
SANTA CLARA, CA 95054
Provider Phone Number
(408) 988-7666
Provider SSA County
530
Provider County Name
Santa Clara
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
201
Number of Residents in Certified Beds
173
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TLC OF THE BAY AREA INC
Date First Approved to Provide Medicare and Medicaid services
1969-05-05
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
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.23006
Reported LPN Staffing Hours per Resident per Day
0.87717
Reported RN Staffing Hours per Resident per Day
0.59624
Reported Licensed Staffing Hours per Resident per Day
1.47341
Reported Total Nurse Staffing Hours per Resident per Day
3.70347
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06532
Expected CNA Staffing Hours per Resident per Day
2.70974
Expected LPN Staffing Hours per Resident per Day
0.70615
Expected RN Staffing Hours per Resident per Day
1.09734
Expected Total Nurse Staffing Hours per Resident per Day
4.51323
Adjusted CNA Staffing Hours per Resident per Day
2.01934
Adjusted LPN Staffing Hours per Resident per Day
1.03102
Adjusted RN Staffing Hours per Resident per Day
0.40599
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30768
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
19
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-05-28
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
44
Cycle 2 Total Health Score
132
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-05-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
100.66700
Number of Facility Reported Incidents
10
Number of Substantiated Complaints
2
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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