Nursing Home

CRESTWOOD MANOR - 104

Overall Rating

Address

1130 Monaco Court

Stockton, CA 95207

Contact

2094782060

Certification Date

1981-03-01

Details

CMS Certification Number

05A340

Ownership Type

For profit - Corporation

Number of Certified Beds

190

Average Number of Residents per Day

176.7

Provider Type

Medicaid

Legal Business Name

Legal Business Name Not Available

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

3.05727

Reported LPN Staffing Hours per Resident per Day

1.07741

Reported RN Staffing Hours per Resident per Day

0.51721

Reported Total Nurse Staffing Hours per Resident per Day

4.65189

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

4.08262

Registered Nurse Hours per Resident per Day on the Weekend

0.31100

Reported Physical Therapist Staffing Hours per Resident Per Day

0.00000

Quality Measures

Long-Stay Quality Measure Rating

5

Short-Stay Quality Measure Rating

Inspections

Total Weighted Health Survey Score

54.667

Number of Facility Reported Incidents

3

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-05-05

Total Number of Health Deficiencies

9

Number of Standard Health Deficiencies

9

Number of Complaint Health Deficiencies

0

Health Deficiency Score

72

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

72

Rating Cycle 2

Standard Health Survey Date

2019-07-11

Total Number of Health Deficiencies

6

Number of Standard Health Deficiencies

6

Number of Complaint Health Deficiencies

0

Health Deficiency Score

24

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

24

Rating Cycle 3

Standard Health Survey Date

2018-06-21

Total Number of Health Deficiencies

5

Number of Standard Health Deficiencies

2

Number of Complaint Health Deficiencies

3

Health Deficiency Score

64

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

64

Penalties

Number of Fines

0

Total Amount of Fines in Dollars

0.00

Number of Payment Denials

0

Total Number of Penalties

0