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Plymouth Square


Plymouth Square Information

     
Facility Name Plymouth Square
Location 1319 N. Madison Street, Stockton, CA 95202
County (SSA Code) San Joaquin (490)
Phone Number 209-466-4341
Certification(s)Medicare and Medicaid
Number of Beds38
Average Number of Residents27.6
CCRC Facility? No
Medicare Overall Rating
Survey Rating
Quality Rating
Long Stay Quality Rating
Short Stay Quality Rating
Staff Quality Rating
Registered Nurse Quality Rating

Abuse Flag No
Sprinklers InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NameSTOCKTON CONGREGATIONAL HOMES
Ownership TypeNon profit - Corporation
Date First Approved1997-02-01

Reported Nurse Aide Staffing Hours per Resident per Day2.41282
Reported LPN Staffing Hours per Resident per Day1.15287
Reported RN Staffing - Hours per Resident per Day0.94059
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)2.09345
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)4.50627
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.12514
Case-Mix LPN Staffing - Hours per Resident per Day0.72231
Case-Mix RN Staffing - Hours per Resident per Day0.38401
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.23146
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)4.44592

Total Weighted Health Survey Score for three cycles42
Rating cycle 1 Standard Survey Health Date2019-11-22
Rating cycle 1 - Health Deficiency Score7
Rating cycle 1 - Total Health Inspection Score44
Date of Rating cycle 2 Standard Health Survey Date2018-11-09
Rating cycle 2 - Health Deficiency Score44
Date of Rating cycle 3 Standard Health Survey Date2017-11-16
Rating cycle 3 - Health Deficiency Score56
Rating cycle 3 - Total Health Inspection Score56

Number of Facility-Reported Incidents2
Number of Substantiated Complaints0
Number of Substantiated Complaints0
Total Number of Penalties0

Data Filing Date2020-10-01
Page Last Updated2020-11-28