Fircrest Convalescent Hospital
7025 Corline Court, Sebastopol, CA 95472


Fircrest Convalescent Hospital is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 055476. The address is 7025 Corline Court, Sebastopol, CA 95472. The zip code is 95472. The phone number is 7078237444.


Fircrest Convalescent Hospital · 7025 Corline Court, Sebastopol, CA 95472

Federal Provider Number 055476
Provider Name FIRCREST CONVALESCENT HOSPITAL
Address 7025 CORLINE COURT
SEBASTOPOL, CA 95472
Phone Number 7078237444
SSA County Code 590
County Name Sonoma
Ownership Type For profit - Corporation
Certified Beds 50
Certified Beds Residents 39
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name SANDHYA INC.
Date First Approved to Provide Medicare Medicaid Services 11/01/1968
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 Footnote Rating Not Displayed
Health Inspection Rating 1
Quality Measure Rating 5
Staffing Rating Footnote Rating Not Displayed
RN Staffing Rating Footnote Rating Not Displayed
Reported CNA Staffing Hours per Resident per Day 3.02179
Reported LPN Staffing Hours per Resident per Day 0.51667
Reported RN Staffing Hours per Resident per Day 0.9641
Reported Licensed Staffing Hours per Resident per Day 1.48077
Reported Total Nurse Staffing Hours per Resident per Day 4.50256
Reported Physical Therapist Staffing Hours per Resident Per Day 0.10128
Expected CNA Staffing Hours per Resident per Day 2.42192
Expected LPN Staffing Hours per Resident per Day 0.57971
Expected RN Staffing Hours per Resident per Day 0.79692
Expected Total Nurse Staffing Hours per Resident per Day 3.79855
Adjusted CNA Staffing Hours per Resident per Day 3.06144
Adjusted LPN Staffing Hours per Resident per Day 0.73974
Adjusted RN Staffing Hours per Resident per Day 0.90395
Adjusted Total Nurse Staffing Hours per Resident per Day 4.77798
Cycle 1 Total Number of Health Deficiencies 22
Cycle 1 Number of Standard Health Deficiencies 21
Cycle 1 Number of Complaint Health Deficiencies 3
Cycle 1 Health Deficiency Score 236
Cycle 1 Standard Survey Health Date 07/26/2016
Cycle 1 Number of Health Revisits 3
Cycle 1 Health Revisit Score 165
Cycle 1 Total Health Score 401
Cycle 2 Total Number of Health Deficiencies 18
Cycle 2 Number of Standard Health Deficiencies 9
Cycle 2 Number of Complaint Health Deficiencies 10
Cycle 2 Health Deficiency Score 176
Cycle 2 Standard Health Survey Date 07/24/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 176
Cycle 3 Total Number of Health Deficiencies 9
Cycle 3 Number of Standard Health Deficiencies 9
Cycle 3 Health Deficiency Score 84
Cycle 3 Standard Health Survey Date 07/11/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 84
Total Weighted Health Survey Score 273.167
Number of Facility Reported Incidents 11
Number of Substantiated Complaints 5
Number of Fines 1
Total Amount of Fines in Dollars $122287.00
Number of Payment Denials 1
Total Number of Penalties 2
Processing Date 08/01/2017

Owner or Manager · Fircrest Convalescent Hospital

Owner Name Role Association Date
BESSMER, CHRISTINE (Individual) MANAGING EMPLOYEE since 12/01/2015
BESSMER, CHRISTINE (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2015
CAMP, RICHARD (Individual) MANAGING EMPLOYEE since 09/19/2016
CAMP, RICHARD (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/19/2016
THEKKEK, ANTONY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 09/01/2011
THEKKEK, PREMA (Individual) OFFICER since 11/15/2001
TRASK, APRIL (Individual) MANAGING EMPLOYEE since 01/01/2016

95472 · Nursing Home

Apple Valley Post-acute Rehab 1035 Gravenstein Hwy South, Sebastopol, CA 95472

Sebastopol · Nursing Home

Apple Valley Post-acute Rehab 1035 Gravenstein Hwy South, Sebastopol, CA 95472

CA · Nursing Home

Broadway Manor Care Center 605 West Broadway, Glendale, CA 91204
Park Central Care and Rehabilitation Center 2100 Parkside Drive, Fremont, CA 94536
California Convalescent Center 1 909 S Lake Street, Los Angeles, CA 90006
Grand Valley Health Care Center 13524 Sherman Way, Van Nuys, CA 91405
Chowchilla Memorial Healthcare District 1104 Ventura Ave., Chowchilla, CA 93610
Montclair Manor Care Center 5119 Bandera Street, Montclair, CA 91763
Windsor Care Center of Petaluma 523 Hayes Lane, Petaluma, CA 94952
Bay View Rehabilitation Hospital, LLC 516 Willow Street, Alameda, CA 94501
Heritage Gardens Health Care Center 25271 Barton Road, Loma Linda, CA 92354
Penn Mar Therapeutic Center 3938 Cogswell Road, El Monte, CA 91732
Panorama Gardens 9541 Van Nuys Blvd., Panorama City, CA 91402
Monrovia Post Acute 1220 E. Huntington Drive, Duarte, CA 91010
Cottonwood Canyon Healthcare Center 1391 Madison Avenue, El Cajon, CA 92021
Pilgrim Place Health Services Center 721 W Harrison St, Claremont, CA 91711
Sunset Manor Conv Hosp 2720 Nevada Avenue, El Monte, CA 91733
Kindred Nursing and Healthcare-victorian 2121 Pine Street, San Francisco, CA 94115
Modoc Medical Center D/p Snf 228 W Mc Dowell Ave, Alturas, CA 96101
Windsor Healthcare Center of Oakland 2919 Fruitvale Ave, Oakland, CA 94602
Country Villa Los Feliz Nursing Center 3002 Rowena Avenue, Los Angeles, CA 90039
Meadowood A Health and Rehabilitation Center 3110 Wagner Heights Road, Stockton, CA 95209
Kindred Nursing and Rehabilitation-ygnacio Valley 1449 Ygnacio Valley Road, Walnut Creek, CA 94598
Avalon Health Care-madera 1700 Howard Road, Madera, CA 93637
Mountain View Conv Hosp 13333 Fenton Avenue, Sylmar, CA 91342
Hollywood Premier Heatlhcare Center 5401 Fountain Ave., Los Angeles, CA 90029
Casa De Modesto 1745 Eldena Way, Modesto, CA 95350
Saratoga Retirement Community Health Center 14500 Fruitvale Avenue, Saratoga, CA 95070
Healthcare Center of Bella Vista 933 East Deodar Street, Ontario, CA 91764
Providence Sun Villa 350 North Villa Street, Porterville, CA 93257
Valley Convalescent Hospital 919 Freedom Blvd, Watsonville, CA 95076
Oak Ridge Healthcare Center 310 Oak Ridge Drive, Roseville, CA 95661
Murrieta Health and Rehabilitation Center 24100 Monroe Avenue, Murrieta, CA 92562
Camden Postacute Care, Inc 1331 Camden Avenue, Campbell, CA 95008
Carlsbad By The Sea 2855 Carlsbad Blvd, Carlsbad, CA 92008
Balboa Nursing & Rehabilitation Center 3520 Fourth Avenue, San Diego, CA 92103
The Californian 2225 De La Vina St, Santa Barbara, CA 93105
Garden Grove Convalescent Hosp 12882 Shackelford Lane, Garden Grove, CA 92841
Lake Balboa Care Center 16955 Vanowen Street, Van Nuys, CA 91406
Palm Terrace Healthcare & Rehabilitation Center 24962 Calle Aragon, Laguna Hills, CA 92653
Royal Crest Health Care 519 W. Badillo St., Covina, CA 91722
Rosecrans Care Center 1140 West Rosecrans Avenue, Gardena, CA 90247