Willow Pass Healthcare Center - Concord Nursing Home
General Information
UPDATEFederal Provider Number
55241
Provider Name
WILLOW PASS HEALTHCARE CENTER
Provider Address
3318 WILLOW PASS ROAD
CONCORD, CA 94519
CONCORD, CA 94519
Provider Phone Number
(925) 689-9222
Provider SSA County
60
Provider County Name
Contra Costa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILLOW PASS HEALTH CARE CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.45128
Reported LPN Staffing Hours per Resident per Day
0.80128
Reported RN Staffing Hours per Resident per Day
1.18910
Reported Licensed Staffing Hours per Resident per Day
1.99038
Reported Total Nurse Staffing Hours per Resident per Day
4.44166
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09359
Expected CNA Staffing Hours per Resident per Day
2.44133
Expected LPN Staffing Hours per Resident per Day
0.62518
Expected RN Staffing Hours per Resident per Day
1.01053
Expected Total Nurse Staffing Hours per Resident per Day
4.07704
Adjusted CNA Staffing Hours per Resident per Day
2.46370
Adjusted LPN Staffing Hours per Resident per Day
1.06379
Adjusted RN Staffing Hours per Resident per Day
0.87924
Adjusted Total Nurse Staffing Hours per Resident per Day
4.39139
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-10-10
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
32
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-08-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
64.66700
Number of Facility Reported Incidents
5
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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