Valley Memorial Hospital Snf - Livermore Nursing Home
General Information
UPDATEFederal Provider Number
555335
Provider Name
VALLEY MEMORIAL HOSPITAL SNF
Provider Address
1111 E. STANLEY BLVD
LIVERMORE, CA 94550
LIVERMORE, CA 94550
Provider Phone Number
(925) 373-4060
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
23
Number of Residents in Certified Beds
23
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS
Date First Approved to Provide Medicare and Medicaid services
1988-11-29
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
0.31087
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
3.90217
Reported Licensed Staffing Hours per Resident per Day
3.90217
Reported Total Nurse Staffing Hours per Resident per Day
4.21304
Reported Physical Therapist Staffing Hours per Resident Per Day
0.87391
Expected CNA Staffing Hours per Resident per Day
2.18406
Expected LPN Staffing Hours per Resident per Day
0.81859
Expected RN Staffing Hours per Resident per Day
1.96036
Expected Total Nurse Staffing Hours per Resident per Day
4.96301
Adjusted CNA Staffing Hours per Resident per Day
0.34925
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.48733
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42178
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-02-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-12-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
1
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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