Western Slope Health Center - Placerville Nursing Home
General Information
UPDATEFederal Provider Number
56243
Provider Name
WESTERN SLOPE HEALTH CENTER
Provider Address
3280 WASHINGTON STREET
PLACERVILLE, CA 95667
PLACERVILLE, CA 95667
Provider Phone Number
(530) 622-6842
Provider SSA County
80
Provider County Name
El Dorado
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
ROSEBUD HOLDINGS, LLC
Date First Approved to Provide Medicare and Medicaid services
1973-07-01
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
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
2.63132
Reported LPN Staffing Hours per Resident per Day
1.24341
Reported RN Staffing Hours per Resident per Day
1.12143
Reported Licensed Staffing Hours per Resident per Day
2.36484
Reported Total Nurse Staffing Hours per Resident per Day
4.99616
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09176
Expected CNA Staffing Hours per Resident per Day
2.48419
Expected LPN Staffing Hours per Resident per Day
0.66059
Expected RN Staffing Hours per Resident per Day
1.18602
Expected Total Nurse Staffing Hours per Resident per Day
4.33080
Adjusted CNA Staffing Hours per Resident per Day
2.59902
Adjusted LPN Staffing Hours per Resident per Day
1.56229
Adjusted RN Staffing Hours per Resident per Day
0.70651
Adjusted Total Nurse Staffing Hours per Resident per Day
4.65018
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-06-05
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
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
3
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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