Crestwood Manor - 104
1130 Monaco Court, Stockton, CA 95207


Crestwood Manor - 104 is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 05A340. The address is 1130 Monaco Court, Stockton, CA 95207. The zip code is 95207. The phone number is 2094782060.


Crestwood Manor - 104 · 1130 Monaco Court, Stockton, CA 95207

Federal Provider Number 05A340
Provider Name CRESTWOOD MANOR - 104
Address 1130 MONACO COURT
STOCKTON, CA 95207
Phone Number 2094782060
SSA County Code 490
County Name San Joaquin
Ownership Type For profit - Corporation
Certified Beds 190
Certified Beds Residents 186
Provider Type Medicaid
Resides in Hospital false
Legal Business Name Legal Business Name Not Available
Date First Approved to Provide Medicare Medicaid Services 03/01/1981
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 4
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.32097
Reported LPN Staffing Hours per Resident per Day 0.59435
Reported RN Staffing Hours per Resident per Day 0.41048
Reported Licensed Staffing Hours per Resident per Day 1.00484
Reported Total Nurse Staffing Hours per Resident per Day 3.3258
Expected CNA Staffing Hours per Resident per Day 1.51053
Expected LPN Staffing Hours per Resident per Day 0.47
Expected RN Staffing Hours per Resident per Day 0.65463
Expected Total Nurse Staffing Hours per Resident per Day 2.63516
Adjusted CNA Staffing Hours per Resident per Day 3.77018
Adjusted LPN Staffing Hours per Resident per Day 1.0496
Adjusted RN Staffing Hours per Resident per Day 0.46852
Adjusted Total Nurse Staffing Hours per Resident per Day 5.08734
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 16
Cycle 1 Standard Survey Health Date 06/09/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 16
Cycle 2 Total Number of Health Deficiencies 7
Cycle 2 Number of Standard Health Deficiencies 6
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 24
Cycle 2 Standard Health Survey Date 07/09/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 24
Cycle 3 Total Number of Health Deficiencies 14
Cycle 3 Number of Standard Health Deficiencies 11
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 60
Cycle 3 Standard Health Survey Date 08/07/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 60
Total Weighted Health Survey Score 26
Number of Facility Reported Incidents 4
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Crestwood Manor - 104

Owner Name Role Association Date
() Ownership Data Not Available

95207 · Nursing Home

Golden Living Center - Hy-pana 4545 Shelley Court, Stockton, CA 95207
Windsor Elmhaven Care Center 6940 Pacific Avenue, Stockton, CA 95207
Golden Living Center - Chateau 1221 Rosemarie Lane, Stockton, CA 95207

Stockton · Nursing Home

Kindred Transitional Care & Rehab - Valley Gardens 1517 East Knickerbocker Drive, Stockton, CA 95210
Wagner Heights Nursing & Rehabilitation Center 9289 Branstetter Place, Stockton, CA 95209
Solomon Valley Manor 315 S Ash St, Stockton, KS 67669
Waverly Place of Stockton 501 East Front Street, Po Box #38, Stockton, IL 61085
Plymouth Square 1319 N. Madison Street, Stockton, CA 95202
Meadowood A Health and Rehabilitation Center 3110 Wagner Heights Road, Stockton, CA 95209
Lake Stockton Healthcare Facility 811 Owen Mill Road, Po Box 945, Stockton, MO 65785
Windsor Elmhaven Care Center 6940 Pacific Avenue, Stockton, CA 95207
Good Samaritan Rehab and Care Center 1630 N. Edison Street, Stockton, CA 95204
Golden Living Center - Portside 2740 North California Street, Stockton, CA 95204
Windsor Hampton Care Center 442 Hampton Street, Stockton, CA 95204
Riverwood Healthcare Center 5320 Carrington Circle, Stockton, CA 95210
Golden Living Center - Chateau 1221 Rosemarie Lane, Stockton, CA 95207
La Salette Health and Rehabilitation Center 537 E. Fulton Street, Stockton, CA 95204
Lincoln Square Post Acute Care 1032 N. Lincoln Street, Stockton, CA 95203
Creekside Center 9107 N. Davis Road, Stockton, CA 95209
Golden Living Center - Hy-pana 4545 Shelley Court, Stockton, CA 95207

CA · Nursing Home

La Palma Nursing Center 1130 La Palma Ave, Anaheim, CA 92801
Kingsburg Center 1101 Stroud Ave, Kingsburg, CA 93631
Orinda Care Center, LLC 11 Altarinda Road, Orinda, CA 94563
Idylwood Care Center 1002 W. Fremont Avenue, Sunnyvale, CA 94087
Infinity Care of East Los Angeles 101 S Fickett Street, Los Angeles, CA 90033
Jewish Home D/p Snf 302 Silver Ave, San Francisco, CA 94112
Shields Richmond Nursing Center 1919 Cutting Blvd, Richmond, CA 94804
Lakeside Special Care Center 11962 Woodside Avenue, Lakeside, CA 92040
Montclair Manor Care Center 5119 Bandera Street, Montclair, CA 91763
Paramount Convalescent Hosp. 8558 East Rosecrans Avenue, Paramount, CA 90723
Community Care Center 8665 La Mesa Blvd., La Mesa, CA 91942
Acc Care Center 7801 Rush River Drive, Sacramento, CA 95831
Country Villa Westwood 12121 Santa Monica Boulevard, Los Angeles, CA 90025
Beachwood Post-acute & Rehab 1340 15th Street, Santa Monica, CA 90404
Healdsburg Senior Living Community 725 Grove Street, Healdsburg, CA 95448
Kindred Transitional Care & Rehab - Walnut Creek 1224 Rossmoor Parkway, Walnut Creek, CA 94595
Herman Health Care Center 2295 Plummer Avenue, San Jose, CA 95125
Valley Palms Care Center 13400 Sherman Way, N Hollywood, CA 91605
Cupertino Healthcare & Wellness Center 22590 Voss Avenue, Cupertino, CA 95014
Kei-ai South Bay Healthcare Center 15115 S Vermont Ave, Gardena, CA 90247
Fountain View Subacute and Nursing Center 5310 Fountain Ave, Los Angeles, CA 90029
Providence Little Co of Mary Transitional Care Ctr 4320 Maricopa Street, Torrance, CA 90503
Parkwest Healthcare Center 6740 Wilbur Ave, Reseda, CA 91335
Casa De Modesto 1745 Eldena Way, Modesto, CA 95350
Mountain View Healthcare Center 2530 Solace Place, Mountain View, CA 94040
Sunray Healthcare Center 3210 W Pico Blvd, Los Angeles, CA 90019
West Anaheim Extended Care 645 South Beach Blvd., Anaheim, CA 92804
Pacific Rehabilitation & Wellness Center, Lp 2211 Harrison Avenue, Eureka, CA 95501
Cherry Valley Healthcare 5800 West Wilson Street, Banning, CA 92220
Victoria Care Center 5445 Everglades St, Ventura, CA 93003
Empress Care Center, LLC 1299 S. Bascom Avenue, San Jose, CA 95128
Holiday Manor Care Center 20554 Roscoe Blvd, Canoga Park, CA 91306
The Reutlinger Community 4000 Camino Tassajara, Danville, CA 94506
Mountains Community Hosp Dpsnf 29101 Hospital Road, Lake Arrowhead, CA 92352
Downey Community Health Center 8425 Iowa Street, Downey, CA 90241
Springs Road Healthcare 1527 Springs Road, Vallejo, CA 94591
Extended Care Hospital of Riverside 8171 Magnolia Avenue, Riverside, CA 92504
Fresno Postacute Care 1233 A Street, Fresno, CA 93706
San Rafael Healthcare & Wellness Center, Lp 1601 5th Avenue, San Rafael, CA 94901
Eskaton Care Center Manzanita 5318 Manzanita Avenue, Carmichael, CA 95608