Vienna Nursing And Rehabilitation Center - Lodi Nursing Home
General Information
UPDATEFederal Provider Number
55481
Provider Name
VIENNA NURSING AND REHABILITATION CENTER
Provider Address
800 SO. HAM LANE
LODI, CA 95242
LODI, CA 95242
Provider Phone Number
(209) 368-7141
Provider SSA County
490
Provider County Name
San Joaquin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
126
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VIENNA CONVALESCENT HOSPITAL, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
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
3.30437
Reported LPN Staffing Hours per Resident per Day
0.78611
Reported RN Staffing Hours per Resident per Day
0.80952
Reported Licensed Staffing Hours per Resident per Day
1.59563
Reported Total Nurse Staffing Hours per Resident per Day
4.90000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05714
Expected CNA Staffing Hours per Resident per Day
2.41864
Expected LPN Staffing Hours per Resident per Day
0.57972
Expected RN Staffing Hours per Resident per Day
0.88434
Expected Total Nurse Staffing Hours per Resident per Day
3.88270
Adjusted CNA Staffing Hours per Resident per Day
3.35227
Adjusted LPN Staffing Hours per Resident per Day
1.12549
Adjusted RN Staffing Hours per Resident per Day
0.68398
Adjusted Total Nurse Staffing Hours per Resident per Day
5.08703
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-10-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-10-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-11-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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