Creekside Healthcare Center
1900 Church Lane, San Pablo, CA 94806


Creekside Healthcare Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 055099. The address is 1900 Church Lane, San Pablo, CA 94806. The zip code is 94806. The phone number is 5102355514.


Creekside Healthcare Center · 1900 Church Lane, San Pablo, CA 94806

Federal Provider Number 055099
Provider Name CREEKSIDE HEALTHCARE CENTER
Address 1900 CHURCH LANE
SAN PABLO, CA 94806
Phone Number 5102355514
SSA County Code 60
County Name Contra Costa
Ownership Type For profit - Corporation
Certified Beds 80
Certified Beds Residents 69
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name Legal Business Name Not Available
Date First Approved to Provide Medicare Medicaid Services 02/11/1970
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 5
Quality Measure Rating 5
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.92609
Reported LPN Staffing Hours per Resident per Day 0.87029
Reported RN Staffing Hours per Resident per Day 1.33406
Reported Licensed Staffing Hours per Resident per Day 2.20435
Reported Total Nurse Staffing Hours per Resident per Day 5.13044
Reported Physical Therapist Staffing Hours per Resident Per Day 0.17464
Expected CNA Staffing Hours per Resident per Day 2.60086
Expected LPN Staffing Hours per Resident per Day 0.65862
Expected RN Staffing Hours per Resident per Day 1.04902
Expected Total Nurse Staffing Hours per Resident per Day 4.3085
Adjusted CNA Staffing Hours per Resident per Day 2.76053
Adjusted LPN Staffing Hours per Resident per Day 1.09675
Adjusted RN Staffing Hours per Resident per Day 0.95023
Adjusted Total Nurse Staffing Hours per Resident per Day 4.79988
Cycle 1 Total Number of Health Deficiencies 2
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 8
Cycle 1 Standard Survey Health Date 09/30/2016
Cycle 1 Total Health Score 8
Cycle 2 Total Number of Health Deficiencies 6
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 40
Cycle 2 Standard Health Survey Date 09/04/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 40
Cycle 3 Total Number of Health Deficiencies 1
Cycle 3 Number of Standard Health Deficiencies 1
Cycle 3 Health Deficiency Score 4
Cycle 3 Standard Health Survey Date 06/13/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 4
Total Weighted Health Survey Score 18
Number of Facility Reported Incidents 7
Number of Substantiated Complaints 4
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Creekside Healthcare Center

Owner Name Role Association Date
() Ownership Data Not Available

94806 · Nursing Home

San Pablo Healthcare & Wellness Center 13328 San Pablo Avenue, San Pablo, CA 94806
Vale Healthcare Center 13484 San Pablo Avenue, San Pablo, CA 94806

San Pablo · Nursing Home

San Pablo Healthcare & Wellness Center 13328 San Pablo Avenue, San Pablo, CA 94806
Vale Healthcare Center 13484 San Pablo Avenue, San Pablo, CA 94806

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