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Detailed information-SONOMA DEVELOPMENTAL CENTER D/P SNF

This is the detailed information about SONOMA DEVELOPMENTAL CENTER D/P SNF, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 05A213
Provider Name: SONOMA DEVELOPMENTAL CENTER D/P SNF
Provider State: CA
Provider Zip Code: 95431
Overall Rating: 5
Ownership Type: Government - State
Number of Substantiated Complaints: 0
Provider Phone Number: 7079386000
Provider City: ELDRIDGE
Provider SSA County Code: 590
Provider County Name: Sonoma
Provider Address: P.O. BOX 1493
Number of Certified Beds: 427
Number of Residents in Certified Beds: 76.8
Provider Type: Medicaid
Provider Resides in Hospital: Y
Legal Business Name: Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services: 1974-09-01
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: Both
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: 5
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: 3.23316
Reported LPN Staffing Hours per Resident per Day: 1.35279
Reported RN Staffing Hours per Resident per Day: 0.96227
Reported Licensed Staffing Hours per Resident per Day: 2.31506
Reported Total Nurse Staffing Hours per Resident per Day: 5.54821
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.01852
Expected CNA Staffing Hours per Resident per Day: 2.22370
Expected LPN Staffing Hours per Resident per Day: 0.78540
Expected RN Staffing Hours per Resident per Day: 0.32647
Expected Total Nurse Staffing Hours per Resident per Day: 3.33557

Adjusted CNA Staffing Hours per Resident per Day: 3.03766
Adjusted LPN Staffing Hours per Resident per Day: 1.30707
Adjusted RN Staffing Hours per Resident per Day: 1.12128
Adjusted Total Nurse Staffing Hours per Resident per Day: 5.37014
Health Survey Date Under New Process: No Health Inspection since 11/28/2017
Number of Health Deficiencies on Survey Under New Process: Not Applicable
Severity of Most Severe Deficiency Cited Under New Process: Not Applicable
Largest Number of Residents Affected by Deficiency Cited Under New Process: Not Applicable
Date of Previous Standard Health Inspection: 08/31/2017
Number of Health Deficiencies on Previous Standard Health Inspection: 3
Rating Cycle 1 Standard Survey Health Date: 2017-08-31
Rating Cycle 1 Total Number of Health Deficiencies: 4
Rating Cycle 1 Number of Standard Health Deficiencies: 3
Rating Cycle 1 Number of Complaint Health Deficiencies: 1
Rating Cycle 1 Health Deficiency Score: 16
Rating Cycle 1 Number of Health Revisits: 1
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 16

Rating Cycle 2 Standard Health Survey Date: 2016-09-16
Rating Cycle 2 Total Number of Health Deficiencies: 5
Rating Cycle 2 Number of Standard Health Deficiencies: 5
Rating Cycle 2 Number of Complaint Health Deficiencies: 0
Rating Cycle 2 Health Deficiency Score: 36
Rating Cycle 2 Number of Health Revisits: 1
Rating Cycle 2 Health Revisit Score: 0
Rating Cycle 2 Total Health Score: 36
Total Weighted Health Survey Score: 24.000
Number of Facility Reported Incidents: 3
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