Overall Rating
Cited for abuse
Address
9289 Branstetter Place
Stockton, CA 95209
Contact
2094775252
Certification Date
1991-06-19
CMS Certification Number
555470
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
152
Average Number of Residents per Day
144.0
Provider Type
Medicare and Medicaid
Legal Business Name
COVENANT CARE CALIFORNIA, LLC
Affiliated Entity Name
COVENANT CARE
Affiliated Entity ID
166
Health Inspection Rating
1
Quality Measure Rating
4
Staffing Rating
4
Reported Nurse Aide Staffing Hours per Resident per Day
2.65063
Reported LPN Staffing Hours per Resident per Day
1.04204
Reported RN Staffing Hours per Resident per Day
0.50653
Reported Total Nurse Staffing Hours per Resident per Day
4.19921
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.86309
Registered Nurse Hours per Resident per Day on the Weekend
0.36616
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03338
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
3
Total Weighted Health Survey Score
165.000
Number of Facility Reported Incidents
19
Number of Substantiated Complaints
31
Number of Citations from Infection Control Inspections
1
Standard Health Survey Date
2023-10-13
Total Number of Health Deficiencies
21
Number of Standard Health Deficiencies
12
Number of Complaint Health Deficiencies
9
Health Deficiency Score
112
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
112
Standard Health Survey Date
2021-12-10
Total Number of Health Deficiencies
34
Number of Standard Health Deficiencies
15
Number of Complaint Health Deficiencies
21
Health Deficiency Score
216
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
216
Standard Health Survey Date
2019-08-23
Total Number of Health Deficiencies
24
Number of Standard Health Deficiencies
17
Number of Complaint Health Deficiencies
7
Health Deficiency Score
148
Number of Health Revisits
2
Health Revisit Score
74
Total Health Score
222
Number of Fines
1
Total Amount of Fines in Dollars
32955.00
Number of Payment Denials
0
Total Number of Penalties
1