Whitney Oaks Care Center - Carmichael Nursing Home
General Information
UPDATEFederal Provider Number
56410
Provider Name
WHITNEY OAKS CARE CENTER
Provider Address
3529 WALNUT AVENUE
CARMICHAEL, CA 95608
CARMICHAEL, CA 95608
Provider Phone Number
(916) 488-8601
Provider SSA County
440
Provider County Name
Sacramento
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
126
Number of Residents in Certified Beds
121
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
QUEEN ANN'S LACE HOLDINGS, LLC
Date First Approved to Provide Medicare and Medicaid services
1973-10-17
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
2
Health Inspection Rating Footnote
QM Rating
5
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
3.48760
Reported LPN Staffing Hours per Resident per Day
1.28802
Reported RN Staffing Hours per Resident per Day
1.23843
Reported Licensed Staffing Hours per Resident per Day
2.52645
Reported Total Nurse Staffing Hours per Resident per Day
6.01405
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15455
Expected CNA Staffing Hours per Resident per Day
2.47201
Expected LPN Staffing Hours per Resident per Day
0.66874
Expected RN Staffing Hours per Resident per Day
1.14968
Expected Total Nurse Staffing Hours per Resident per Day
4.29043
Adjusted CNA Staffing Hours per Resident per Day
3.46177
Adjusted LPN Staffing Hours per Resident per Day
1.59861
Adjusted RN Staffing Hours per Resident per Day
0.80488
Adjusted Total Nurse Staffing Hours per Resident per Day
5.65026
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-12-12
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
16
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-12-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
61.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
10
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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