Washington Center - San Leandro Nursing Home
General Information
UPDATEFederal Provider Number
56121
Provider Name
WASHINGTON CENTER
Provider Address
14766 WASHINGTON AVE
SAN LEANDRO, CA 94578
SAN LEANDRO, CA 94578
Provider Phone Number
(510) 352-2211
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
14766 WASHINGTON AVENUE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1974-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.36264
Reported LPN Staffing Hours per Resident per Day
0.67637
Reported RN Staffing Hours per Resident per Day
0.62527
Reported Licensed Staffing Hours per Resident per Day
1.30165
Reported Total Nurse Staffing Hours per Resident per Day
3.66428
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07198
Expected CNA Staffing Hours per Resident per Day
2.41535
Expected LPN Staffing Hours per Resident per Day
0.61688
Expected RN Staffing Hours per Resident per Day
1.02986
Expected Total Nurse Staffing Hours per Resident per Day
4.06210
Adjusted CNA Staffing Hours per Resident per Day
2.40015
Adjusted LPN Staffing Hours per Resident per Day
0.91004
Adjusted RN Staffing Hours per Resident per Day
0.45365
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63613
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-01-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
2
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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