Willow Pass Healthcare Center
3318 Willow Pass Road, Concord, CA 94519


Willow Pass Healthcare Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 055241. The address is 3318 Willow Pass Road, Concord, CA 94519. The zip code is 94519. The phone number is 9256899222.


Willow Pass Healthcare Center · 3318 Willow Pass Road, Concord, CA 94519

Federal Provider Number 055241
Provider Name WILLOW PASS HEALTHCARE CENTER
Address 3318 WILLOW PASS ROAD
CONCORD, CA 94519
Phone Number 9256899222
SSA County Code 60
County Name Contra Costa
Ownership Type For profit - Corporation
Certified Beds 81
Certified Beds Residents 74
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name WILLOW PASS HEALTH CARE CENTER INC
Date First Approved to Provide Medicare Medicaid Services 01/01/1967
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 4
Health Inspection Rating 4
Quality Measure Rating 4
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.46824
Reported LPN Staffing Hours per Resident per Day 0.70068
Reported RN Staffing Hours per Resident per Day 0.71149
Reported Licensed Staffing Hours per Resident per Day 1.41216
Reported Total Nurse Staffing Hours per Resident per Day 3.88041
Reported Physical Therapist Staffing Hours per Resident Per Day 0.07365
Expected CNA Staffing Hours per Resident per Day 2.51223
Expected LPN Staffing Hours per Resident per Day 0.60609
Expected RN Staffing Hours per Resident per Day 1.01206
Expected Total Nurse Staffing Hours per Resident per Day 4.13039
Adjusted CNA Staffing Hours per Resident per Day 2.41073
Adjusted LPN Staffing Hours per Resident per Day 0.95954
Adjusted RN Staffing Hours per Resident per Day 0.52529
Adjusted Total Nurse Staffing Hours per Resident per Day 3.78694
Cycle 1 Total Number of Health Deficiencies 8
Cycle 1 Number of Standard Health Deficiencies 8
Cycle 1 Health Deficiency Score 32
Cycle 1 Standard Survey Health Date 12/29/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 32
Cycle 2 Total Number of Health Deficiencies 10
Cycle 2 Number of Standard Health Deficiencies 8
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 36
Cycle 2 Standard Health Survey Date 01/04/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 36
Cycle 3 Total Number of Health Deficiencies 13
Cycle 3 Number of Standard Health Deficiencies 12
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 64
Cycle 3 Standard Health Survey Date 10/10/2014
Cycle 3 Number of Health Revisits 2
Cycle 3 Health Revisit Score 32
Cycle 3 Total Health Score 96
Total Weighted Health Survey Score 44
Number of Facility Reported Incidents 4
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Willow Pass Healthcare Center

Owner Name Role Association Date
COBB, RUSSEL (Individual) MANAGING EMPLOYEE since 05/13/2003
PODDATOORI, AMITH (Individual) MANAGING EMPLOYEE since 05/13/2003
PODDATOORI, PRATAP (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/31/2003
PODDATOORI, PRATAP (Individual) OFFICER since 05/31/2003
VIADO, SONIA (Individual) MANAGING EMPLOYEE since 09/13/2003
WHITE, TERESA (Individual) MANAGING EMPLOYEE since 05/04/2004
WILLOW PASS HEALTH CARE CENTER INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/31/2003

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