Vasona Creek Healthcare Center - Los Gatos Nursing Home
General Information
UPDATEFederal Provider Number
55798
Provider Name
VASONA CREEK HEALTHCARE CENTER
Provider Address
16412 LOS GATOS BOULEVARD
LOS GATOS, CA 95030
LOS GATOS, CA 95030
Provider Phone Number
(408) 356-2191
Provider SSA County
530
Provider County Name
Santa Clara
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
148
Number of Residents in Certified Beds
142
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOLDEN OAK HOLDINGS, LLC
Date First Approved to Provide Medicare and Medicaid services
1980-03-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
3.00317
Reported LPN Staffing Hours per Resident per Day
1.14613
Reported RN Staffing Hours per Resident per Day
1.46690
Reported Licensed Staffing Hours per Resident per Day
2.61303
Reported Total Nurse Staffing Hours per Resident per Day
5.61620
Reported Physical Therapist Staffing Hours per Resident Per Day
0.28873
Expected CNA Staffing Hours per Resident per Day
2.54737
Expected LPN Staffing Hours per Resident per Day
0.65924
Expected RN Staffing Hours per Resident per Day
1.21361
Expected Total Nurse Staffing Hours per Resident per Day
4.42022
Adjusted CNA Staffing Hours per Resident per Day
2.89274
Adjusted LPN Staffing Hours per Resident per Day
1.44301
Adjusted RN Staffing Hours per Resident per Day
0.90314
Adjusted Total Nurse Staffing Hours per Resident per Day
5.12154
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-06-25
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-06-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-07-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
5
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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