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White Blossom Care Center


White Blossom Care Center Information

     
Facility Name White Blossom Care Center
Location 1990 Fruitdale Avenue, San Jose, CA 95128
County (SSA Code) Santa Clara (530)
Phone Number 408-998-8447
Certification(s)Medicare and Medicaid
Number of Beds153
Average Number of Residents144.1
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 NameHAWTHORNE HOLDINGS, LLC
Ownership TypeFor profit - Limited Liability company
Date First Approved1977-05-01

Reported Nurse Aide Staffing Hours per Resident per Day2.37992
Reported LPN Staffing Hours per Resident per Day1.18395
Reported RN Staffing - Hours per Resident per Day0.75808
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)1.94203
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)4.32195
Reported Physical Therapy Staffing - Hours per Resident Per Day0.15811
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.10356
Case-Mix LPN Staffing - Hours per Resident per Day0.68223
Case-Mix RN Staffing - Hours per Resident per Day0.27829
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.06408
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)4.497

Total Weighted Health Survey Score for three cycles87.333
Rating cycle 1 Standard Survey Health Date2019-10-10
Rating cycle 1 - Health Deficiency Score23
Rating cycle 1 - Total Health Inspection Score88
Date of Rating cycle 2 Standard Health Survey Date2018-09-21
Rating cycle 2 - Health Deficiency Score88
Date of Rating cycle 3 Standard Health Survey Date2017-09-21
Rating cycle 3 - Health Deficiency Score48
Rating cycle 3 - Total Health Inspection Score48

Number of Facility-Reported Incidents5
Number of Substantiated Complaints8
Number of Substantiated Complaints8
Total Number of Penalties0

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