La Salette Health and Rehabilitation Center
537 E. Fulton Street, Stockton, CA 95204


La Salette Health and Rehabilitation Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 055833. The address is 537 E. Fulton Street, Stockton, CA 95204. The zip code is 95204. The phone number is 2094662066.


La Salette Health and Rehabilitation Center · 537 E. Fulton Street, Stockton, CA 95204

Federal Provider Number 055833
Provider Name LA SALETTE HEALTH AND REHABILITATION CENTER
Address 537 E. FULTON STREET
STOCKTON, CA 95204
Phone Number 2094662066
SSA County Code 490
County Name San Joaquin
Ownership Type For profit - Corporation
Certified Beds 116
Certified Beds Residents 92
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name FIVE STAR QUALITY CARE-CA II LLC
Date First Approved to Provide Medicare Medicaid Services 11/06/1967
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 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.28315
Reported LPN Staffing Hours per Resident per Day 0.90924
Reported RN Staffing Hours per Resident per Day 0.57446
Reported Licensed Staffing Hours per Resident per Day 1.4837
Reported Total Nurse Staffing Hours per Resident per Day 3.76685
Reported Physical Therapist Staffing Hours per Resident Per Day 0.09946
Expected CNA Staffing Hours per Resident per Day 2.45921
Expected LPN Staffing Hours per Resident per Day 0.59192
Expected RN Staffing Hours per Resident per Day 0.92582
Expected Total Nurse Staffing Hours per Resident per Day 3.97695
Adjusted CNA Staffing Hours per Resident per Day 2.27803
Adjusted LPN Staffing Hours per Resident per Day 1.27496
Adjusted RN Staffing Hours per Resident per Day 0.46363
Adjusted Total Nurse Staffing Hours per Resident per Day 3.81795
Cycle 1 Total Number of Health Deficiencies 6
Cycle 1 Number of Standard Health Deficiencies 5
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 28
Cycle 1 Standard Survey Health Date 08/04/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 28
Cycle 2 Total Number of Health Deficiencies 3
Cycle 2 Number of Standard Health Deficiencies 3
Cycle 2 Health Deficiency Score 16
Cycle 2 Standard Health Survey Date 08/07/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 16
Cycle 3 Total Number of Health Deficiencies 12
Cycle 3 Number of Standard Health Deficiencies 10
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 76
Cycle 3 Standard Health Survey Date 08/08/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 76
Total Weighted Health Survey Score 32
Number of Facility Reported Incidents 3
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · La Salette Health and Rehabilitation Center

Owner Name Role Association Date
BLACKROCK INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
since 12/31/2015
CLARK, JENNIFER (Individual) OFFICER since 07/01/2000
DELACRUZ, MELVIE (Individual) MANAGING EMPLOYEE since 01/06/2004
DIMENSIONAL FUND ADVISORS LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
since 12/31/2015
DOYLE, RICHARD (Individual) OFFICER since 01/01/2016
FIVE STAR QUALITY CARE - CA II, INC. (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/26/2004
FIVE STAR QUALITY CARE INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2000
FSQ INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2000
HERZIG, ROBERT (Individual) OFFICER since 11/07/2012
MACKEY, BRUCE (Individual) OFFICER since 05/01/2008
MARTIN, GERARD (Individual) DIRECTOR since 07/01/2000
MARZELLI, ANTHONY (Individual) MANAGING EMPLOYEE since 01/01/2011
PORTNOY, BARRY (Individual) DIRECTOR since 07/01/2000
POTTER, KATHERINE (Individual) OFFICER since 02/27/2012
ROPALIDIS, GUS (Individual) MANAGING EMPLOYEE since 01/30/2006
SENIOR HOUSING PROPERTIES TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
9%
since 12/31/2015

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