Bay View Rehabilitation Hospital, LLC
516 Willow Street, Alameda, CA 94501


Bay View Rehabilitation Hospital, LLC is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 056348. The address is 516 Willow Street, Alameda, CA 94501. The zip code is 94501. The phone number is 5105215600.


Bay View Rehabilitation Hospital, LLC · 516 Willow Street, Alameda, CA 94501

Federal Provider Number 056348
Provider Name BAY VIEW REHABILITATION HOSPITAL, LLC
Address 516 WILLOW STREET
ALAMEDA, CA 94501
Phone Number 5105215600
County Name Alameda
Ownership Type For profit - Individual
Certified Beds 180
Certified Beds Residents 149
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name BAY VIEW REHABILITATION HOSPITAL LLC
Date First Approved to Provide Medicare Medicaid Services 08/31/1972
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 Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 3.40805
Reported LPN Staffing Hours per Resident per Day 1.38087
Reported RN Staffing Hours per Resident per Day 0.62013
Reported Licensed Staffing Hours per Resident per Day 2.00101
Reported Total Nurse Staffing Hours per Resident per Day 5.40905
Reported Physical Therapist Staffing Hours per Resident Per Day 0.07953
Expected CNA Staffing Hours per Resident per Day 2.35148
Expected LPN Staffing Hours per Resident per Day 0.6047
Expected RN Staffing Hours per Resident per Day 1.02507
Expected Total Nurse Staffing Hours per Resident per Day 3.98126
Adjusted CNA Staffing Hours per Resident per Day 3.5562
Adjusted LPN Staffing Hours per Resident per Day 1.89534
Adjusted RN Staffing Hours per Resident per Day 0.45203
Adjusted Total Nurse Staffing Hours per Resident per Day 5.4765
Cycle 1 Total Number of Health Deficiencies 14
Cycle 1 Number of Standard Health Deficiencies 12
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 64
Cycle 1 Standard Survey Health Date 04/13/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 64
Cycle 2 Total Number of Health Deficiencies 15
Cycle 2 Number of Standard Health Deficiencies 12
Cycle 2 Number of Complaint Health Deficiencies 3
Cycle 2 Health Deficiency Score 88
Cycle 2 Standard Health Survey Date 05/12/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 88
Cycle 3 Total Number of Health Deficiencies 14
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Number of Complaint Health Deficiencies 8
Cycle 3 Health Deficiency Score 48
Cycle 3 Standard Health Survey Date 03/26/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 48
Total Weighted Health Survey Score 69.333
Number of Facility Reported Incidents 5
Number of Substantiated Complaints 17
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Bay View Rehabilitation Hospital, LLC

Owner Name Role Association Date
CHAMBERS, THOMAS (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 11/01/2012
CHAMBERS, THOMAS (Individual) OFFICER since 11/01/2012
JOHNSON, DAVID (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 11/01/2012
JOHNSON, DAVID (Individual) OFFICER since 11/01/2012
MERIDIAN MANAGEMENT SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 03/01/2013
NITSCHE, MARK (Individual) MANAGING EMPLOYEE since 03/05/2013
TELMO, MARICAR (Individual) MANAGING EMPLOYEE since 03/05/2013

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