Vintage Estates Of Richmond - Richmond Nursing Home
General Information
UPDATEFederal Provider Number
555735
Provider Name
VINTAGE ESTATES OF RICHMOND
Provider Address
955 23RD STREET
RICHMOND, CA 94804
RICHMOND, CA 94804
Provider Phone Number
(510) 237-5182
Provider SSA County
60
Provider County Name
Contra Costa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
35
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VINTAGE ESTATES III INC
Date First Approved to Provide Medicare and Medicaid services
1999-03-16
Continuing Care Retirement Community
N
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
4
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
3.49655
Reported LPN Staffing Hours per Resident per Day
0.68276
Reported RN Staffing Hours per Resident per Day
0.85172
Reported Licensed Staffing Hours per Resident per Day
1.53448
Reported Total Nurse Staffing Hours per Resident per Day
5.03103
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02931
Expected CNA Staffing Hours per Resident per Day
2.39715
Expected LPN Staffing Hours per Resident per Day
0.64184
Expected RN Staffing Hours per Resident per Day
0.89515
Expected Total Nurse Staffing Hours per Resident per Day
3.93414
Adjusted CNA Staffing Hours per Resident per Day
3.57904
Adjusted LPN Staffing Hours per Resident per Day
0.88292
Adjusted RN Staffing Hours per Resident per Day
0.71095
Adjusted Total Nurse Staffing Hours per Resident per Day
5.15477
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-09-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
0
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
0
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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