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GOOD SAMARITAN REHAB AND CARE CENTER

Overall Rating

Address

1630 N. Edison Street

Stockton, CA 95204

Contact

2099488762

Certification Date

1967-01-11

Details

CMS Certification Number

055039

Ownership Type

For profit - Corporation

Number of Certified Beds

98

Average Number of Residents per Day

76.7

Provider Type

Medicare and Medicaid

Legal Business Name

STOCKTON EDISON HEALTHCARE CORPORATION

Affiliated Entity Name

Affiliated Entity ID

Ratings

Health Inspection Rating

4

Quality Measure Rating

5

Staffing Rating

5

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.38984

Reported LPN Staffing Hours per Resident per Day

0.99512

Reported RN Staffing Hours per Resident per Day

0.62998

Reported Total Nurse Staffing Hours per Resident per Day

4.01494

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

3.65631

Registered Nurse Hours per Resident per Day on the Weekend

0.47316

Reported Physical Therapist Staffing Hours per Resident Per Day

0.00000

Quality Measures

Long-Stay Quality Measure Rating

5

Short-Stay Quality Measure Rating

3

Inspections

Total Weighted Health Survey Score

46.000

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

2

Number of Citations from Infection Control Inspections

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2019-03-08

Total Number of Health Deficiencies

10

Number of Standard Health Deficiencies

10

Number of Complaint Health Deficiencies

0

Health Deficiency Score

48

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

48

Rating Cycle 2

Standard Health Survey Date

2018-05-04

Total Number of Health Deficiencies

9

Number of Standard Health Deficiencies

7

Number of Complaint Health Deficiencies

2

Health Deficiency Score

40

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

40

Rating Cycle 3

Standard Health Survey Date

2017-05-05

Total Number of Health Deficiencies

11

Number of Standard Health Deficiencies

11

Number of Complaint Health Deficiencies

0

Health Deficiency Score

52

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

52

Penalties

Number of Fines

4

Total Amount of Fines in Dollars

9381.19

Number of Payment Denials

0

Total Number of Penalties

4