Wisteria Care Center - Castro Valley Nursing Home
General Information
UPDATEFederal Provider Number
555761
Provider Name
WISTERIA CARE CENTER
Provider Address
20524 WISTERIA STREET
CASTRO VALLEY, CA 94546
CASTRO VALLEY, CA 94546
Provider Phone Number
5107279169
Provider SSA County
0
Provider County Name
Alameda
Ownership Type
For profit - Corporation
Number of Certified Beds
25
Number of Residents in Certified Beds
21
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNITED FAMILY MEDICAL SUPPLY, INC.
Date First Approved to Provide Medicare and Medicaid services
2000-09-07
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.47619
Reported LPN Staffing Hours per Resident per Day
0.62381
Reported RN Staffing Hours per Resident per Day
0.43333
Reported Licensed Staffing Hours per Resident per Day
1.05714
Reported Total Nurse Staffing Hours per Resident per Day
3.53333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.29373
Expected LPN Staffing Hours per Resident per Day
0.56095
Expected RN Staffing Hours per Resident per Day
0.65333
Expected Total Nurse Staffing Hours per Resident per Day
3.50802
Adjusted CNA Staffing Hours per Resident per Day
2.64888
Adjusted LPN Staffing Hours per Resident per Day
0.92301
Adjusted RN Staffing Hours per Resident per Day
0.49559
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05999
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-10-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
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
0
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-08-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
0
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
Nursiong Homes Nearby
Castro Valley Healthcare And Rehabilitation Center
20259 Lake Chabot Road |
CASTRO VALLEY CA 94546 | 0.2 mile away
Valley Pointe Nursing & Rehabilitation Center
20090 Stanton Avenue |
CASTRO VALLEY CA 94546 | 0.3 mile away
Baywood Court Health Center
21966 Dolores Street |
CASTRO VALLEY CA 94546 | 0.9 mile away
Redwood Convalescent Hospital, Inc
22103 Redwood Road |
CASTRO VALLEY CA 94546 | 0.9 mile away
St John Kronstadt Convalescent Center
4432 James Avenue |
CASTRO VALLEY CA 94546 | 1.1 miles away
Kaiser Permanente Post Acute
1440 168th Avenue |
SAN LEANDRO CA 94578 | 1.2 miles away
Hayward Hills Health Care Center
1768 B Street |
HAYWARD CA 94541 | 1.3 miles away
Windsor Gardens Care Center Of Hayward
1628 B Street |
HAYWARD CA 94541 | 1.3 miles away
Hayward Convalescent Hospital
1832 B St |
HAYWARD CA 94541 | 1.4 miles away
Hayward Springs Care Center
21863 Vallejo Street |
HAYWARD CA 94541 | 1.5 miles away
Morton Bakar Center
494 Blossom Way |
HAYWARD CA 94541 | 1.6 miles away
Baypoint Healthcare Center
442 Sunset Boulevard |
HAYWARD CA 94541 | 1.6 miles away
Bethesda Home
22427 Montgomery St. |
HAYWARD CA 94541 | 1.7 miles away
St Anthony Care Center Inc
553 Smalley Ave. |
HAYWARD CA 94541 | 1.8 miles away
All Saints Subacute And Rehabilitation Center-maub
15731 Maubert Avenue |
SAN LEANDRO CA 94578 | 1.9 miles away
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