St John Kronstadt Convalescent Center
4432 James Avenue, Castro Valley, CA 94546


St John Kronstadt Convalescent Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555016. The address is 4432 James Avenue, Castro Valley, CA 94546. The zip code is 94546. The phone number is 5108897000.


St John Kronstadt Convalescent Center · 4432 James Avenue, Castro Valley, CA 94546

Federal Provider Number 555016
Provider Name ST JOHN KRONSTADT CONVALESCENT CENTER
Address 4432 JAMES AVENUE
CASTRO VALLEY, CA 94546
Phone Number 5108897000
County Name Alameda
Ownership Type Non profit - Church related
Certified Beds 49
Certified Beds Residents 43
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name ST JOHN KRONSTADT HOME FOR AGED RUSSIAN AMERICANS
Date First Approved to Provide Medicare Medicaid Services 05/14/1976
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 5
Quality Measure Rating 5
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 3.06512
Reported LPN Staffing Hours per Resident per Day 0.61279
Reported RN Staffing Hours per Resident per Day 0.87209
Reported Licensed Staffing Hours per Resident per Day 1.48488
Reported Total Nurse Staffing Hours per Resident per Day 4.55
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03488
Expected CNA Staffing Hours per Resident per Day 2.47839
Expected LPN Staffing Hours per Resident per Day 0.61759
Expected RN Staffing Hours per Resident per Day 0.87825
Expected Total Nurse Staffing Hours per Resident per Day 3.97422
Adjusted CNA Staffing Hours per Resident per Day 3.03459
Adjusted LPN Staffing Hours per Resident per Day 0.82355
Adjusted RN Staffing Hours per Resident per Day 0.74196
Adjusted Total Nurse Staffing Hours per Resident per Day 4.61489
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 12
Cycle 1 Standard Survey Health Date 10/06/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 12
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Health Deficiency Score 4
Cycle 2 Standard Health Survey Date 09/24/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 4
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 08/15/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 10.667
Number of Facility Reported Incidents 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · St John Kronstadt Convalescent Center

Owner Name Role Association Date
DANBY, CRAIG (Individual) OPERATIONAL/MANAGERIAL CONTROL since 04/01/2014
GONZALEZ, EDWARD (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2014
GRIMES, JEREMY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2014
KOLOBOFF, CONSTANTINE (Individual) DIRECTOR since 01/01/2007
KOLOBOFF, CONSTANTINE (Individual) OFFICER since 01/01/2007
KUMANSKY, GEORGE (Individual) OFFICER since 01/01/2000
LOUKIANOFF, ALEXANDER (Individual) DIRECTOR since 01/01/2007
MAXIMOW, ANDREW (Individual) DIRECTOR since 01/01/2010
PAVLENKO, STEFAN (Individual) DIRECTOR since 11/22/2004
PAVLENKO, STEFAN (Individual) OFFICER since 01/01/2000
SERENITY 4 MANAGEMENT SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2014
ST JOHN KRONSTADT HOME FOR AGED RUSSIAN AMERICANS (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 10/15/1971

94546 · Nursing Home

Baywood Court Health Center 21966 Dolores Street, Castro Valley, CA 94546
East Bay Post-acute 20259 Lake Chabot Road, Castro Valley, CA 94546
Providence Valley Pointe 20090 Stanton Avenue, Castro Valley, CA 94546
Wisteria Care Center 20524 Wisteria Street, Castro Valley, CA 94546
Redwood Convalescent Hospital, Inc 22103 Redwood Road, Castro Valley, CA 94546

Castro Valley · Nursing Home

Baywood Court Health Center 21966 Dolores Street, Castro Valley, CA 94546
Redwood Convalescent Hospital, Inc 22103 Redwood Road, Castro Valley, CA 94546
Providence Valley Pointe 20090 Stanton Avenue, Castro Valley, CA 94546
Wisteria Care Center 20524 Wisteria Street, Castro Valley, CA 94546
East Bay Post-acute 20259 Lake Chabot Road, Castro Valley, CA 94546

CA · Nursing Home

Huntington Valley Healthcare Center 8382 Newman Avenue, Huntington Beach, CA 92647
Healdsburg Senior Living Community 725 Grove Street, Healdsburg, CA 95448
Arbor Rehabilitation & Nursing Center 900 North Church Street, Lodi, CA 95240
Bellflower Post Acute 9710 E. Artesia Ave, Bellflower, CA 90706
Clear View Convalescent Center 15823 So. Western Ave., Gardena, CA 90247
Presbyterian Intercomm Hosp Dp/snf 12401 Washington Blvd., Whittier, CA 90602
Fallbrook Skilled Nursing 325 Potter Street, Fallbrook, CA 92028
Memorial Hospital of Gardena D/p Snf 1145 W. Redondo Beach, Gardena, CA 90247
Mid-wilshire Health Care Cntr 676 S. Bonnie Brae Street, Los Angeles, CA 90057
Modesto Post Acute Center 159 E. Orangeburg Avenue, Modesto, CA 95350
Lighthouse Healthcare Center 2222 Santa Ana Blvd., Los Angeles, CA 90059
Autumn Hills Health Care Center 430 N.glendale Ave, Glendale, CA 91206
O'connor Hospital Dp/snf 2105 Forest Avenue, San Jose, CA 95128
Briarcrest Nursing Center 5648 East Gotham Street, Bell Gardens, CA 90201
Valencia Gardens Health Care Center 4301 Caroline Court, Riverside, CA 92506
Bayside Care Center 1405 Teresa Dr, Morro Bay, CA 93442
Huntington Healthcare Center 4515 Huntington Drive South, Los Angeles, CA 90032
Hearts & Hands, Post Acute Care & Rehab Center 2990 Soquel Avenue, Santa Cruz, CA 95062
South Pasadena Care Center 904 Mission St, South Pasadena, CA 91030
Palomar Heights Post Acute Rehab 1260 E Ohio Avenue, Escondido, CA 92027
Granite Hills Healthcare & Wellness Centre, LLC 1340 E Madison Ave, El Cajon, CA 92021
Eskaton Care Center Fair Oaks 11300 Fair Oaks Blvd., Fair Oaks, CA 95628
Freedom Village Healthcare Center 23442 El Toro Road, Lake Forest, CA 92630
Pacific Post Acute 1323 17th Street, Santa Monica, CA 90404
Kingsley Manor Care Center 1055 N Kingsley Dr, Los Angeles, CA 90029
Highland Palms Healthcare Center 7534 Palm Avenue, Highland, CA 92346
Shadow Hills Conv. Hospital 10158 Sunland Blvd, Sunland, CA 91040
Windsor Gardens Conv Long Beac 3232 E. Artesia Blvd., Long Beach, CA 90805
Santa Monica Health Care Center 1320 20th Street, Santa Monica, CA 90404
Maple Healthcare Center 2526 Maple Ave., Los Angeles, CA 90011
High Valley Lodge 7912 Topley Lane, Sunland, CA 91040
Intercommunity Care Center 2626 Grand Avenue, Long Beach, CA 90815
Gardena Convalescent Center 14819 S. Vermont, Gardena, CA 90247
Sequoias, The 501 Portola Road, Portola Valley, CA 94028
Grace Home Inc. 13435 West Peach Avenue, Livingston, CA 95334
Fireside Convalescent Hospital 947 Third Street, Santa Monica, CA 90403
Las Flores Convalescent Hospital 14165 Purche Ave., Gardena, CA 90249
Applewood Post Acute 1090 Rio Lane, Sacramento, CA 95822
Medical Center Convalescent Hospital 467 E Gilbert St, San Bernardino, CA 92404
Chowchilla Memorial Healthcare District 1104 Ventura Ave., Chowchilla, CA 93610