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Princeton Manor Healthcare Center, Llc


Princeton Manor Healthcare Center, Llc Information

     
Facility Name Princeton Manor Healthcare Center, Llc
Location 2124 57th Avenue, Oakland, CA 94621
County (SSA Code) Alameda (0)
Phone Number 510-261-2628
Certification(s)Medicare and Medicaid
Number of Beds82
Average Number of Residents68.3
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 CouncilBoth

Provider Business NamePRINCETON MANOR HEALTHCARE CENTER LLC
Ownership TypeFor profit - Individual
Date First Approved1968-01-18

Reported Nurse Aide Staffing Hours per Resident per Day1.94523
Reported LPN Staffing Hours per Resident per Day0.95688
Reported RN Staffing - Hours per Resident per Day0.41705
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)1.37393
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.31916
Reported Physical Therapy Staffing - Hours per Resident Per Day0.08787
Case-Mix Nurse Aide Staffing - Hours per Resident per Day1.88105
Case-Mix LPN Staffing - Hours per Resident per Day0.67924
Case-Mix RN Staffing - Hours per Resident per Day0.3118
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)2.87208
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.68447

Total Weighted Health Survey Score for three cycles82.667
Rating cycle 1 Standard Survey Health Date2019-10-24
Rating cycle 1 - Health Deficiency Score22
Rating cycle 1 - Total Health Inspection Score32
Date of Rating cycle 2 Standard Health Survey Date2018-10-11
Rating cycle 2 - Health Deficiency Score32
Date of Rating cycle 3 Standard Health Survey Date2017-11-09
Rating cycle 3 - Health Deficiency Score60
Rating cycle 3 - Total Health Inspection Score60

Number of Facility-Reported Incidents4
Number of Substantiated Complaints11
Number of Substantiated Complaints11
Total Number of Penalties0

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