Overall Rating
Cited for abuse
Address
12225 Shale Ridge Lane
Auburn, CA 95602
Contact
5308857511
Certification Date
1973-07-01
CMS Certification Number
055776
Ownership Type
For profit - Corporation
Number of Certified Beds
205
Average Number of Residents per Day
164.7
Provider Type
Medicare and Medicaid
Legal Business Name
KERRIA HOLDINGS, LLC
Affiliated Entity Name
PROVIDENCE GROUP
Affiliated Entity ID
429
Health Inspection Rating
1
Quality Measure Rating
4
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
2.37377
Reported LPN Staffing Hours per Resident per Day
1.31260
Reported RN Staffing Hours per Resident per Day
0.24737
Reported Total Nurse Staffing Hours per Resident per Day
3.93373
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.46418
Registered Nurse Hours per Resident per Day on the Weekend
0.16477
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02957
Long-Stay Quality Measure Rating
4
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
153.333
Number of Facility Reported Incidents
26
Number of Substantiated Complaints
29
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2022-08-18
Total Number of Health Deficiencies
24
Number of Standard Health Deficiencies
21
Number of Complaint Health Deficiencies
4
Health Deficiency Score
160
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
160
Standard Health Survey Date
2019-08-23
Total Number of Health Deficiencies
30
Number of Standard Health Deficiencies
13
Number of Complaint Health Deficiencies
17
Health Deficiency Score
148
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
148
Standard Health Survey Date
2018-08-10
Total Number of Health Deficiencies
32
Number of Standard Health Deficiencies
13
Number of Complaint Health Deficiencies
19
Health Deficiency Score
144
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
144
Number of Fines
1
Total Amount of Fines in Dollars
20209.59
Number of Payment Denials
0
Total Number of Penalties
1