California Nursing Homes >> Grass Valley Nursing Homes >> Wolf Creek Care Center

Wolf Creek Care Center - Grass Valley Nursing Home

General Information

UPDATE
Federal Provider Number
55512
Provider Name
WOLF CREEK CARE CENTER
Provider Address
107 CATHERINE LANE
GRASS VALLEY, CA 95945
Provider Phone Number
(530) 273-4447
Provider SSA County
390
Provider County Name
Nevada
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BLUEBELL HOLDINGS, LLC
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.29412
Reported LPN Staffing Hours per Resident per Day
0.49706
Reported RN Staffing Hours per Resident per Day
1.27157
Reported Licensed Staffing Hours per Resident per Day
1.76863
Reported Total Nurse Staffing Hours per Resident per Day
4.06275
Reported Physical Therapist Staffing Hours per Resident Per Day
0.31961
Expected CNA Staffing Hours per Resident per Day
2.23897
Expected LPN Staffing Hours per Resident per Day
0.66046
Expected RN Staffing Hours per Resident per Day
1.09215
Expected Total Nurse Staffing Hours per Resident per Day
3.99157
Adjusted CNA Staffing Hours per Resident per Day
2.51414
Adjusted LPN Staffing Hours per Resident per Day
0.62466
Adjusted RN Staffing Hours per Resident per Day
0.86995
Adjusted Total Nurse Staffing Hours per Resident per Day
4.10278
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
20
Cycle 1 Health Deficiency Score
124
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
124
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
188
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
188
Total Weighted Health Survey Score
112.00000
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
28700
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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