Woodside Healthcare Center - Sacramento Nursing Home
General Information
UPDATEFederal Provider Number
555798
Provider Name
WOODSIDE HEALTHCARE CENTER
Provider Address
2240 NORTHROP AVE
SACRAMENTO, CA 95825
SACRAMENTO, CA 95825
Provider Phone Number
(916) 927-1337
Provider SSA County
440
Provider County Name
Sacramento
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
58
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
W.H.C., INC
Date First Approved to Provide Medicare and Medicaid services
2002-11-05
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
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
3.19630
Reported LPN Staffing Hours per Resident per Day
0.73333
Reported RN Staffing Hours per Resident per Day
0.66019
Reported Licensed Staffing Hours per Resident per Day
1.39352
Reported Total Nurse Staffing Hours per Resident per Day
4.58982
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25926
Expected CNA Staffing Hours per Resident per Day
2.43037
Expected LPN Staffing Hours per Resident per Day
0.63829
Expected RN Staffing Hours per Resident per Day
1.05849
Expected Total Nurse Staffing Hours per Resident per Day
4.12715
Adjusted CNA Staffing Hours per Resident per Day
3.22699
Adjusted LPN Staffing Hours per Resident per Day
0.95359
Adjusted RN Staffing Hours per Resident per Day
0.46603
Adjusted Total Nurse Staffing Hours per Resident per Day
4.48278
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-11-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
4
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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