Vi At Palo Alto - Palo Alto Nursing Home
General Information
UPDATEFederal Provider Number
555835
Provider Name
VI AT PALO ALTO
Provider Address
600 SAND HILL ROAD
PALO ALTO, CA 94304
PALO ALTO, CA 94304
Provider Phone Number
(650) 853-5001
Provider SSA County
530
Provider County Name
Santa Clara
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
31
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
CC-PALO ALTO, INC.
Date First Approved to Provide Medicare and Medicaid services
2006-09-07
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
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
3.60000
Reported LPN Staffing Hours per Resident per Day
0.83710
Reported RN Staffing Hours per Resident per Day
1.97097
Reported Licensed Staffing Hours per Resident per Day
2.80806
Reported Total Nurse Staffing Hours per Resident per Day
6.40807
Reported Physical Therapist Staffing Hours per Resident Per Day
0.65645
Expected CNA Staffing Hours per Resident per Day
2.62042
Expected LPN Staffing Hours per Resident per Day
0.59544
Expected RN Staffing Hours per Resident per Day
1.07665
Expected Total Nurse Staffing Hours per Resident per Day
4.29251
Adjusted CNA Staffing Hours per Resident per Day
3.37095
Adjusted LPN Staffing Hours per Resident per Day
1.16686
Adjusted RN Staffing Hours per Resident per Day
1.36786
Adjusted Total Nurse Staffing Hours per Resident per Day
6.01753
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-08-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
8
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
7.33300
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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