Jerold Phelps Comm Hosp Snf
Jerold Phelps Comm Hosp Snf Information
| Facility Name | Jerold Phelps Comm Hosp Snf |
| Location | 733 Cedar Street, Garberville, CA 95542 |
| County (SSA Code) | Humboldt (110) |
| Phone Number | 707-923-3921 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 17 |
| Average Number of Residents | 8.2 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | Yes |
| Resident Family Council | Resident |
| Provider Business Name | SOUTHERN HUMBOLDT COMMUNITY HOSPITAL DISTRICT |
| Ownership Type | Government - Hospital district |
| Date First Approved | 1992-08-25 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.83389 |
| Reported LPN Staffing Hours per Resident per Day | 2.97426 |
| Reported RN Staffing - Hours per Resident per Day | 3.99198 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 6.96624 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 8.80013 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.79162 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.57996 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.2765 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.64808 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 10.59501 |
| Total Weighted Health Survey Score for three cycles | 106.167 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-22 |
| Rating cycle 1 - Health Deficiency Score | 3 |
| Rating cycle 1 - Total Health Inspection Score | 12 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-07-11 |
| Rating cycle 2 - Health Deficiency Score | 12 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-06-16 |
| Rating cycle 3 - Health Deficiency Score | 64 |
| Rating cycle 3 - Total Health Inspection Score | 64 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 9952 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |