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CREEKSIDE CENTER

Overall Rating

Address

9107 N. Davis Road

Stockton, CA 95209

Contact

2094786488

Certification Date

1989-09-05

Details

CMS Certification Number

555387

Ownership Type

For profit - Limited Liability company

Number of Certified Beds

75

Average Number of Residents per Day

71.6

Provider Type

Medicare and Medicaid

Legal Business Name

SUNBRIDGE STOCKTON REHABILITATION CENTER, LLC

Affiliated Entity Name

GENESIS HEALTHCARE

Affiliated Entity ID

237

Ratings

Health Inspection Rating

4

Quality Measure Rating

5

Staffing Rating

3

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.52293

Reported LPN Staffing Hours per Resident per Day

1.17778

Reported RN Staffing Hours per Resident per Day

0.25188

Reported Total Nurse Staffing Hours per Resident per Day

3.95259

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

3.70152

Registered Nurse Hours per Resident per Day on the Weekend

0.19348

Reported Physical Therapist Staffing Hours per Resident Per Day

0.07048

Quality Measures

Long-Stay Quality Measure Rating

5

Short-Stay Quality Measure Rating

4

Inspections

Total Weighted Health Survey Score

64.000

Number of Facility Reported Incidents

6

Number of Substantiated Complaints

10

Number of Citations from Infection Control Inspections

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2021-05-21

Total Number of Health Deficiencies

20

Number of Standard Health Deficiencies

8

Number of Complaint Health Deficiencies

12

Health Deficiency Score

104

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

104

Rating Cycle 2

Standard Health Survey Date

2019-08-23

Total Number of Health Deficiencies

6

Number of Standard Health Deficiencies

4

Number of Complaint Health Deficiencies

2

Health Deficiency Score

28

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

28

Rating Cycle 3

Standard Health Survey Date

2018-09-21

Total Number of Health Deficiencies

3

Number of Standard Health Deficiencies

3

Number of Complaint Health Deficiencies

0

Health Deficiency Score

16

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

16

Penalties

Number of Fines

0

Total Amount of Fines in Dollars

0.00

Number of Payment Denials

0

Total Number of Penalties

0