Lake Park Retirement Residence
1850 Alice Street, Oakland, CA 94612


Lake Park Retirement Residence is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555113. The address is 1850 Alice Street, Oakland, CA 94612. The zip code is 94612. The phone number is 5108355511.


Lake Park Retirement Residence · 1850 Alice Street, Oakland, CA 94612

Federal Provider Number 555113
Provider Name LAKE PARK RETIREMENT RESIDENCE
Address 1850 ALICE STREET
OAKLAND, CA 94612
Phone Number 5108355511
County Name Alameda
Ownership Type Non profit - Church related
Certified Beds 35
Certified Beds Residents 18
Provider Type Medicare
Resides in Hospital false
Legal Business Name CALIFORNIA-NEVADA METHODIST HOMES
Date First Approved to Provide Medicare Medicaid Services 07/01/1979
Continuing Care Retirement Community true
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 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 3.65833
Reported LPN Staffing Hours per Resident per Day 0.36389
Reported RN Staffing Hours per Resident per Day 1.59167
Reported Licensed Staffing Hours per Resident per Day 1.95556
Reported Total Nurse Staffing Hours per Resident per Day 5.61389
Reported Physical Therapist Staffing Hours per Resident Per Day 0.15833
Expected CNA Staffing Hours per Resident per Day 2.43204
Expected LPN Staffing Hours per Resident per Day 0.57383
Expected RN Staffing Hours per Resident per Day 1.00742
Expected Total Nurse Staffing Hours per Resident per Day 4.0133
Adjusted CNA Staffing Hours per Resident per Day 3.6909
Adjusted LPN Staffing Hours per Resident per Day 0.52634
Adjusted RN Staffing Hours per Resident per Day 1.18053
Adjusted Total Nurse Staffing Hours per Resident per Day 5.63852
Cycle 1 Total Number of Health Deficiencies 6
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Health Deficiency Score 32
Cycle 1 Standard Survey Health Date 07/27/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 32
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 3
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 32
Cycle 2 Standard Health Survey Date 06/26/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 32
Cycle 3 Total Number of Health Deficiencies 9
Cycle 3 Number of Standard Health Deficiencies 9
Cycle 3 Health Deficiency Score 80
Cycle 3 Standard Health Survey Date 05/06/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 80
Total Weighted Health Survey Score 40
Number of Facility Reported Incidents 2
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Lake Park Retirement Residence

Owner Name Role Association Date
BAKER, DALE (Individual) DIRECTOR since 06/01/1973
BARRY, ERIN (Individual) MANAGING EMPLOYEE since 08/05/2013
CALIFORNIA-NEVADA METHODIST HOMES (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 07/01/2010
CROSS, GARRETT (Individual) DIRECTOR since 08/27/2002
CUMMINGS, PAMELA (Individual) DIRECTOR since 01/18/2014
EXTRUM-FERNANDEZ, PAUL (Individual) DIRECTOR since 04/20/2012
FISHER, ALLAN (Individual) DIRECTOR since 07/19/2011
GETCHELL, MARLENE (Individual) DIRECTOR since 05/08/1981
HEDEND, LORETTA (Individual) OFFICER since 03/15/1999
HUBBARD, ROBERT (Individual) OFFICER since 06/15/1984
LEEPER, ROBERT (Individual) OFFICER since 11/15/1993
RIEWERTS, JAMES (Individual) DIRECTOR since 09/23/1986
RYAN, PAIGE (Individual) MANAGING EMPLOYEE since 02/24/2014
THOMSEN, PAUL (Individual) DIRECTOR since 11/17/2006
TRUTNER, HERMAN (Individual) DIRECTOR since 05/10/1991
WARK, JAMES (Individual) DIRECTOR since 09/26/1989
WENDLAND, MARK (Individual) DIRECTOR since 11/07/2003

Oakland · Nursing Home

Bay Area Healthcare Center 1833 10th Avenue, Oakland, CA 94606
Kindred Nursing and Rehabilitation - Medical Hill 475 29th Street, Oakland, CA 94609
Windsor Healthcare Center of Oakland 2919 Fruitvale Ave, Oakland, CA 94602
Oakland Nursing & Rehabilitation Center 706 East Alder Street, Oakland, MD 21550
Bellaken Skilled Nursing Center 2780 26th Avenue, Oakland, CA 94601
St Pauls Towers 100 Bay Place, Oakland, CA 94610
Redwood Healthcare Center LLC 3145 High Street, Oakland, CA 94619
Dennett Road Manor 1113 Mary Drive, Oakland, MD 21550
Mercy Retirement & Care Center 3431 Foothill Blvd., Oakland, CA 94601
The Rehabilitation Center of Oakland 210 40th Street Way, Oakland, CA 94611
Oakland Heights Nursing and Rehabilitation 2361 East 29th Street, Oakland, CA 94606
Oakland Manor 737 North Highway, Oakland, IA 51560
Lake Merritt Healthcare Center LLC 309 Macarthur Boulevard, Oakland, CA 94610
Oakland Rehabilitation and Healthcare Center 20 Breakneck Road, Oakland, NJ 07436
Garfield Neurobehavioral Center 1451 28th Avenue, Oakland, CA 94601
Garrett County Subacute Unit 251 North Fourth Street, Oakland, MD 21550
Fruitvale Healthcare Center 3020 East 15th Street, Oakland, CA 94601
Excell Health Care Center 3025 High Street, Oakland, CA 94619
Park Merritt Care Center 525 E 18th Street, Oakland, CA 94606
Oakland Healthcare & Wellness Center 3030 Webster Street, Oakland, CA 94609
Oakland Heights 207 South Engdahl Avenue, Oakland, NE 68045
Providence Mcclure 2910 Mcclure Street, Oakland, CA 94609
Piedmont Gardens Health Facility 110 41st Street, Oakland, CA 94611
Willow Tree Nursing & Rehab Center 2124 57th Avenue, Oakland, CA 94621

CA · Nursing Home

Oakview Skilled Nursing 3557 Campus Dr, Thousand Oaks, CA 91360
Park View Post Acute 3751 Montgomery Dr, Santa Rosa, CA 95405
Harbor Villa Care Center 861 S. Harbor Blvd, Anaheim, CA 92805
Chapman Care Center 12232 Chapman Ave, Garden Grove, CA 92840
The Terraces of Los Gatos 800 Blossom Hill Road, Los Gatos, CA 95032
Baywood Court Health Center 21966 Dolores Street, Castro Valley, CA 94546
Healthcare Center of Orange County 9021 Knott Ave, Buena Park, CA 90620
Amaya Springs Health Care Center 8625 Lamar Street, Spring Valley, CA 91977
Cottonwood Canyon Healthcare Center 1391 Madison Avenue, El Cajon, CA 92021
Brookdale Carmel Valley 13101 Hartfield Ave, San Diego, CA 92130
Northpointe Healthcare Centre 668 E. Bullard, Fresno, CA 93710
Fredericka Manor Care Center 111 Third Avenue, Chula Vista, CA 91910
Fresno Postacute Care 1233 A Street, Fresno, CA 93706
Riverside Behavioral Healthcare Center 4580 Palm Avenue, Riverside, CA 92501
St. Francis Convalescent Pavilion 99 Escuela Drive, Daly City, CA 94015
Granada Hills Convalescent 16123 Chatsworth Ave, Granada Hills, CA 91344
South Coast Global Medical Center D/p Snf 2701 South Bristol Street, Santa Ana, CA 92704
Clairemont Healthcare & Wellness Centre, LLC 8060 Frost Street, San Diego, CA 92123
Las Flores Convalescent Hospital 14165 Purche Ave., Gardena, CA 90249
Berkley Valley Conv Hospital 6600 Sepulveda Blvd., Van Nuys, CA 91411
Presbyterian Intercomm Hosp Dp/snf 12401 Washington Blvd., Whittier, CA 90602
Hillside Senior Care 38650 Mission Boulevard, Fremont, CA 94536
Olympia Convalescent Hospital 1100 S. Alvarado St, Los Angeles, CA 90006
Huntington Valley Healthcare Center 8382 Newman Avenue, Huntington Beach, CA 92647
Woods Health Services 2600 A Street, La Verne, CA 91750
Mountains Community Hosp Dpsnf 29101 Hospital Road, Lake Arrowhead, CA 92352
Arcadia Health Care Center 1601 S Baldwin Ave., Arcadia, CA 91006
Highland Care Center of Redlands 700 East Highland Avenue, Redlands, CA 92374
El Encanto Healthcare Center 555 South El Encanto Road, City of Industry, CA 91745
Kaweah Manor Convalescent Hospital 3710 West Tulare Ave, Visalia, CA 93277
Veterans Home of California - Fresno 2811 W California Ave, Fresno, Ca, Fresno, CA 93706
Creekside Care Center 35253 Avenue H, Yucaipa, CA 92399
Windsor Park Care Center of Fremont 2400 Parkside Drive, Fremont, CA 94536
St. Anne's Home 300 Lake Street, San Francisco, CA 94118
Turlock Nursing & Rehabilitation Center 1111 E Tuolumne Road, Turlock, CA 95380
Gilroy Healthcare and Rehabilitation Center 8170 Murray Avenue, Gilroy, CA 95020
Anberry Transitional Care 1000 West Yosemite Avenue, Merced, CA 95341
Brookfield Healthcare Center 9300 Telegraph Road, Downey, CA 90240
Sonoma Developmental Center D/p Snf P.o. Box 1493, Eldridge, CA 95431
Park Avenue Healthcare & Wellness Center 1550 North Park Avenue, Pomona, CA 91768