Wine Country Care Center
321 West Turner Road, Lodi, CA 95240


Wine Country Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 055289. The address is 321 West Turner Road, Lodi, CA 95240. The zip code is 95240. The phone number is 2093343760.


Wine Country Care Center · 321 West Turner Road, Lodi, CA 95240

Federal Provider Number 055289
Provider Name WINE COUNTRY CARE CENTER
Address 321 WEST TURNER ROAD
LODI, CA 95240
Phone Number 2093343760
SSA County Code 490
County Name San Joaquin
Ownership Type For profit - Corporation
Certified Beds 87
Certified Beds Residents 78
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name GROSS CONVALESCENT HOSPITAL, INC
Date First Approved to Provide Medicare Medicaid Services 01/01/1967
Continuing Care Retirement Community true
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council None
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 3.87436
Reported LPN Staffing Hours per Resident per Day 1.4141
Reported RN Staffing Hours per Resident per Day 0.31731
Reported Licensed Staffing Hours per Resident per Day 1.73141
Reported Total Nurse Staffing Hours per Resident per Day 5.60577
Reported Physical Therapist Staffing Hours per Resident Per Day 0.00385
Expected CNA Staffing Hours per Resident per Day 2.3454
Expected LPN Staffing Hours per Resident per Day 0.5538
Expected RN Staffing Hours per Resident per Day 0.84469
Expected Total Nurse Staffing Hours per Resident per Day 3.74388
Adjusted CNA Staffing Hours per Resident per Day 4.05327
Adjusted LPN Staffing Hours per Resident per Day 2.11937
Adjusted RN Staffing Hours per Resident per Day 0.28069
Adjusted Total Nurse Staffing Hours per Resident per Day 6.03553
Cycle 1 Total Number of Health Deficiencies 8
Cycle 1 Number of Standard Health Deficiencies 8
Cycle 1 Health Deficiency Score 36
Cycle 1 Standard Survey Health Date 04/13/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 36
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Health Deficiency Score 36
Cycle 2 Standard Health Survey Date 04/22/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 36
Cycle 3 Total Number of Health Deficiencies 6
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Health Deficiency Score 28
Cycle 3 Standard Health Survey Date 05/08/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 28
Total Weighted Health Survey Score 34.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Wine Country Care Center

Owner Name Role Association Date
GROSS CONVALESCENT HOSPITAL, INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/01/2000
GROSS, ELSA (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/01/2000
GROSS, ELSA (Individual) OFFICER since 03/01/2000
GROSS, OSCAR (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/01/2000
GROSS, OSCAR (Individual) OFFICER since 03/01/2000
GROSS, PAUL (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/01/2000
GROSS, PAUL (Individual) MANAGING EMPLOYEE since 06/01/1985
GROSS, PAUL (Individual) OFFICER since 06/01/1985

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