Park View Post Acute
3751 Montgomery Dr, Santa Rosa, CA 95405


Park View Post Acute is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 056411. The address is 3751 Montgomery Dr, Santa Rosa, CA 95405. The zip code is 95405. The phone number is 7075251250.


Park View Post Acute · 3751 Montgomery Dr, Santa Rosa, CA 95405

Federal Provider Number 056411
Provider Name PARK VIEW POST ACUTE
Address 3751 MONTGOMERY DR
SANTA ROSA, CA 95405
Phone Number 7075251250
SSA County Code 590
County Name Sonoma
Ownership Type For profit - Corporation
Certified Beds 116
Certified Beds Residents 105
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name ENSIGN MONTGOMERY LLC
Date First Approved to Provide Medicare Medicaid Services 02/01/1975
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 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.97
Reported LPN Staffing Hours per Resident per Day 0.83476
Reported RN Staffing Hours per Resident per Day 1.12143
Reported Licensed Staffing Hours per Resident per Day 1.95619
Reported Total Nurse Staffing Hours per Resident per Day 4.92619
Reported Physical Therapist Staffing Hours per Resident Per Day 0.20667
Expected CNA Staffing Hours per Resident per Day 2.51672
Expected LPN Staffing Hours per Resident per Day 0.64784
Expected RN Staffing Hours per Resident per Day 1.12716
Expected Total Nurse Staffing Hours per Resident per Day 4.29172
Adjusted CNA Staffing Hours per Resident per Day 2.89563
Adjusted LPN Staffing Hours per Resident per Day 1.06949
Adjusted RN Staffing Hours per Resident per Day 0.7434
Adjusted Total Nurse Staffing Hours per Resident per Day 4.62681
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 5
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 32
Cycle 1 Standard Survey Health Date 10/28/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 32
Cycle 2 Total Number of Health Deficiencies 14
Cycle 2 Number of Standard Health Deficiencies 11
Cycle 2 Number of Complaint Health Deficiencies 3
Cycle 2 Health Deficiency Score 100
Cycle 2 Standard Health Survey Date 10/22/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 100
Cycle 3 Total Number of Health Deficiencies 5
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Health Deficiency Score 24
Cycle 3 Standard Health Survey Date 10/27/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 24
Total Weighted Health Survey Score 53.333
Number of Facility Reported Incidents 2
Number of Substantiated Complaints 5
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Park View Post Acute

Owner Name Role Association Date
BURNAM, SOON (Individual) OFFICER since 02/01/2006
CHRISTENSEN, CHRISTOPHER (Individual) DIRECTOR since 02/01/2006
ENSIGN GROUP, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
since 04/01/2001
NORTHERN PIONEER HEALTHCARE INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 02/01/2006
WILLITS, ADAM (Individual) MANAGING EMPLOYEE since 11/06/2014
WILLITS, ADAM (Individual) OPERATIONAL/MANAGERIAL CONTROL since 11/06/2014
WITTEKIND, BEVERLY (Individual) OFFICER since 02/01/2006

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