Wine Country Care Center - Lodi Nursing Home

General Information

UPDATE
Federal Provider Number
55289
Provider Name
WINE COUNTRY CARE CENTER
Provider Address
321 WEST TURNER ROAD
LODI, CA 95240
Provider Phone Number
2093343760
Provider SSA County
490
Provider County Name
San Joaquin
Ownership Type
For profit - Corporation
Number of Certified Beds
87
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GROSS CONVALESCENT HOSPITAL, 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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.77622
Reported LPN Staffing Hours per Resident per Day
0.82866
Reported RN Staffing Hours per Resident per Day
0.39207
Reported Licensed Staffing Hours per Resident per Day
1.22073
Reported Total Nurse Staffing Hours per Resident per Day
3.99695
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00244
Expected CNA Staffing Hours per Resident per Day
2.48927
Expected LPN Staffing Hours per Resident per Day
0.53658
Expected RN Staffing Hours per Resident per Day
0.75905
Expected Total Nurse Staffing Hours per Resident per Day
3.78490
Adjusted CNA Staffing Hours per Resident per Day
2.73655
Adjusted LPN Staffing Hours per Resident per Day
1.28181
Adjusted RN Staffing Hours per Resident per Day
0.38595
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25673
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
12
Cycle 1 Standard Survey Health Date
2014-05-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
28
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
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
1
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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Meadowood A Health And Rehabilitation Center

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Golden Living Center - Hy-pana

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