Tracy Nursing and Rehabilitation Center
545 West Beverly Place, Tracy, CA 95376


Tracy Nursing and Rehabilitation Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555080. The address is 545 West Beverly Place, Tracy, CA 95376. The zip code is 95376. The phone number is 2098356034.


Tracy Nursing and Rehabilitation Center · 545 West Beverly Place, Tracy, CA 95376

Federal Provider Number 555080
Provider Name TRACY NURSING AND REHABILITATION CENTER
Address 545 WEST BEVERLY PLACE
TRACY, CA 95376
Phone Number 2098356034
SSA County Code 490
County Name San Joaquin
Ownership Type For profit - Corporation
Certified Beds 62
Certified Beds Residents 58
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name ATMC LLC
Date First Approved to Provide Medicare Medicaid Services 02/01/1978
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 2.82845
Reported LPN Staffing Hours per Resident per Day 1.40259
Reported RN Staffing Hours per Resident per Day 0.73879
Reported Licensed Staffing Hours per Resident per Day 2.14138
Reported Total Nurse Staffing Hours per Resident per Day 4.96983
Reported Physical Therapist Staffing Hours per Resident Per Day 0.18707
Expected CNA Staffing Hours per Resident per Day 2.46916
Expected LPN Staffing Hours per Resident per Day 0.67749
Expected RN Staffing Hours per Resident per Day 1.28674
Expected Total Nurse Staffing Hours per Resident per Day 4.43339
Adjusted CNA Staffing Hours per Resident per Day 2.81074
Adjusted LPN Staffing Hours per Resident per Day 1.71833
Adjusted RN Staffing Hours per Resident per Day 0.42901
Adjusted Total Nurse Staffing Hours per Resident per Day 4.51864
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Health Deficiency Score 12
Cycle 1 Standard Survey Health Date 03/23/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 12
Cycle 2 Total Number of Health Deficiencies 13
Cycle 2 Number of Standard Health Deficiencies 12
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 52
Cycle 2 Standard Health Survey Date 03/24/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 52
Cycle 3 Total Number of Health Deficiencies 6
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 28
Cycle 3 Standard Health Survey Date 04/09/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 28
Total Weighted Health Survey Score 28
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 · Tracy Nursing and Rehabilitation Center

Owner Name Role Association Date
ASPEN SKILLED HEALTHCARE INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 07/01/2012
BRADSHAW, JEFFREY (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
21%
since 07/01/2012
BRADSHAW, JEFFREY (Individual) OFFICER since 07/01/2012
BRADY, VERN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
since 07/01/2012
BRADY, VERN (Individual) OFFICER since 07/01/2012
CASE, RYAN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
since 07/01/2012
CASE, RYAN (Individual) OFFICER since 07/01/2012
SAMUELOTT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
since 07/01/2012
ZWAHIEN, RODNEY (Individual) MANAGING EMPLOYEE since 07/01/2012

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