Vineyard Hills Health Center - Templeton Nursing Home
General Information
UPDATEFederal Provider Number
555220
Provider Name
VINEYARD HILLS HEALTH CENTER
Provider Address
290 HEATHER CT
TEMPLETON, CA 93465
TEMPLETON, CA 93465
Provider Phone Number
(805) 434-3035
Provider SSA County
500
Provider County Name
San Luis Obispo
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COASTAL LLC
Date First Approved to Provide Medicare and Medicaid services
1986-04-28
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
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.03698
Reported LPN Staffing Hours per Resident per Day
1.20521
Reported RN Staffing Hours per Resident per Day
0.43125
Reported Licensed Staffing Hours per Resident per Day
1.63646
Reported Total Nurse Staffing Hours per Resident per Day
5.67344
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09740
Expected CNA Staffing Hours per Resident per Day
2.70936
Expected LPN Staffing Hours per Resident per Day
0.68710
Expected RN Staffing Hours per Resident per Day
1.07640
Expected Total Nurse Staffing Hours per Resident per Day
4.47286
Adjusted CNA Staffing Hours per Resident per Day
3.65604
Adjusted LPN Staffing Hours per Resident per Day
1.45586
Adjusted RN Staffing Hours per Resident per Day
0.29936
Adjusted Total Nurse Staffing Hours per Resident per Day
5.11285
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-08-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-08-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
4
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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