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Detailed information-ST JUDE CARE CENTER

This is the detailed information about ST JUDE CARE CENTER, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 055917
Provider Name: ST JUDE CARE CENTER
Provider State: CA
Provider Zip Code: 95336
Overall Rating: 5
Ownership Type: For profit - Corporation
Number of Substantiated Complaints: 11
Provider Phone Number: 2098231788
Provider City: MANTECA
Provider SSA County Code: 490
Provider County Name: San Joaquin
Provider Address: 469 EAST NORTH STREET
Number of Certified Beds: 99
Number of Residents in Certified Beds: 69.5
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: N
Date First Approved to Provide Medicare and Medicaid services: 1968-04-10
Continuing Care Retirement Community: N
Special Focus Facility: N
Most Recent Health Inspection More Than 2 Years Ago: N

Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Resident
Automatic Sprinkler Systems in All Required Areas: Yes
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: 2
RN Staffing Rating Footnote:
Reported Staffing Footnote:
Physical Therapist Staffing Footnote:
Reported CNA Staffing Hours per Resident per Day: 2.35625
Reported LPN Staffing Hours per Resident per Day: 0.90469
Reported RN Staffing Hours per Resident per Day: 0.25978
Reported Licensed Staffing Hours per Resident per Day: 1.16446
Reported Total Nurse Staffing Hours per Resident per Day: 3.52072
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.00000
Expected CNA Staffing Hours per Resident per Day: 2.08608
Expected LPN Staffing Hours per Resident per Day: 0.66014
Expected RN Staffing Hours per Resident per Day: 0.28485
Expected Total Nurse Staffing Hours per Resident per Day: 3.03106

Adjusted CNA Staffing Hours per Resident per Day: 2.35983
Adjusted LPN Staffing Hours per Resident per Day: 1.03998
Adjusted RN Staffing Hours per Resident per Day: 0.34693
Adjusted Total Nurse Staffing Hours per Resident per Day: 3.75007
Health Survey Date Under New Process: 12/08/2017
Number of Health Deficiencies on Survey Under New Process: 3
Severity of Most Severe Deficiency Cited Under New Process: Minimal Harm/Potential for Actual Harm
Largest Number of Residents Affected by Deficiency Cited Under New Process: Some
Date of Previous Standard Health Inspection: 10/07/2016
Number of Health Deficiencies on Previous Standard Health Inspection: 5
Rating Cycle 1 Standard Survey Health Date: 2016-10-07
Rating Cycle 1 Total Number of Health Deficiencies: 6
Rating Cycle 1 Number of Standard Health Deficiencies: 5
Rating Cycle 1 Number of Complaint Health Deficiencies: 1
Rating Cycle 1 Health Deficiency Score: 32
Rating Cycle 1 Number of Health Revisits: 1
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 32

Rating Cycle 2 Standard Health Survey Date: 2015-10-23
Rating Cycle 2 Total Number of Health Deficiencies: 9
Rating Cycle 2 Number of Standard Health Deficiencies: 7
Rating Cycle 2 Number of Complaint Health Deficiencies: 2
Rating Cycle 2 Health Deficiency Score: 44
Rating Cycle 2 Number of Health Revisits: 1
Rating Cycle 2 Health Revisit Score: 0
Rating Cycle 2 Total Health Score: 44
Total Weighted Health Survey Score: 36.800
Number of Facility Reported Incidents: 1
Number of Fines: 0
Total Amount of Fines in Dollars: 0
Number of Payment Denials: 0
Total Number of Penalties: 0
Processing Date: 2018-04-01