Overall Rating
Address
900 North Church Street
Lodi, CA 95240
Contact
2093331222
Certification Date
1984-02-17
CMS Certification Number
555164
Ownership Type
For profit - Corporation
Number of Certified Beds
149
Average Number of Residents per Day
128.8
Provider Type
Medicare and Medicaid
Legal Business Name
COVENANT CARE LODI, LLC
Affiliated Entity Name
COVENANT CARE
Affiliated Entity ID
166
Health Inspection Rating
3
Quality Measure Rating
5
Staffing Rating
4
Reported Nurse Aide Staffing Hours per Resident per Day
2.73936
Reported LPN Staffing Hours per Resident per Day
1.11233
Reported RN Staffing Hours per Resident per Day
0.58116
Reported Total Nurse Staffing Hours per Resident per Day
4.43285
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
4.06523
Registered Nurse Hours per Resident per Day on the Weekend
0.44704
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07365
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
75.333
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
4
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2023-05-18
Total Number of Health Deficiencies
15
Number of Standard Health Deficiencies
11
Number of Complaint Health Deficiencies
4
Health Deficiency Score
80
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
80
Standard Health Survey Date
2019-04-05
Total Number of Health Deficiencies
12
Number of Standard Health Deficiencies
9
Number of Complaint Health Deficiencies
3
Health Deficiency Score
56
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
56
Standard Health Survey Date
2018-03-23
Total Number of Health Deficiencies
20
Number of Standard Health Deficiencies
20
Number of Complaint Health Deficiencies
0
Health Deficiency Score
100
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
100
Number of Fines
1
Total Amount of Fines in Dollars
650.00
Number of Payment Denials
0
Total Number of Penalties
1