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

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

CA · Nursing Home

Manchester Manor Conv Hospital 837 W. Manchester Ave., Los Angeles, CA 90044
Cedar Crest Nursing and Rehabilitation Center 797 E Fremont Avenue, Sunnyvale, CA 94087
Apple Valley Post-acute Rehab 1035 Gravenstein Hwy South, Sebastopol, CA 95472
Golden Living Center - Hy-pana 4545 Shelley Court, Stockton, CA 95207
Clairemont Healthcare & Wellness Centre, LLC 8060 Frost Street, San Diego, CA 92123
Redlands Comm Hosp D/p Snf 350 Terracina Blvd., Redlands, CA 92373
Coventry Court Health Center 2040 S. Euclid Avenue, Anaheim, CA 92802
Eureka Rehabilitation & Wellness Center, Lp 2353 Twenty-third St, Eureka, CA 95501
Jewish Home D/p Snf 302 Silver Ave, San Francisco, CA 94112
Delano District Skilled Nursing Facility 1509 Tokay Street, Delano, CA 93215
Country Villa East Nursing Center 2415 South Western Avenue, Los Angeles, CA 90018
Courtyard Health Care Center 1850 East 8th Street, Davis, CA 95616
Bixby Knolls Towers Health Care & Rehab Center 3747 Atlantic Avenue, Long Beach, CA 90807
Kindred Nursing and Rehabilitation - Medical Hill 475 29th Street, Oakland, CA 94609
Greenfield Care Center of Fillmore, LLC 118 B St, Fillmore, CA 93015
Valley Manor Conv Hosp 6120 N. Vineland Ave, North Hollywood, CA 91606
Parkview Healthcare Center 27350 Tampa Avenue, Hayward, CA 94544
Hearts & Hands, Post Acute Care & Rehab Center 2990 Soquel Avenue, Santa Cruz, CA 95062
Glendale Healthcare Center 1208 S. Central Ave, Glendale, CA 91204
Victoria Care Center 3541 Puente Avenue, Baldwin Park, CA 91706
Briarwood Post Acute 5901 Lemon Hill Ave, Sacramento, CA 95824
Sonoma Valley Hospital Dp/snf 347 Andrieux St, Sonoma, CA 95476
Redwood Cove Healthcare Center 1162 S Dora St., Ukiah, CA 95482
Healdsburg District Hospital Dp/snf 1375 University Avenue, Healdsburg, CA 95448
Santa Fe Lodge 5053 Peck Rd., El Monte, CA 91732
Sherman Oaks Hospital Snf Dp 4929 Van Nuys Blvd, Sherman Oaks, CA 91403
Eskaton Care Center Fair Oaks 11300 Fair Oaks Blvd., Fair Oaks, CA 95628
Bel Vista Healthcare Center 5001 East Anaheim Street, East Long Beach, CA 90804
Alameda County Medical Center D/p Snf 15400 Foothill Boulevard, San Leandro, CA 94578
Highland Springs Care Center 1441 Michigan Avenue, Beaumont, CA 92223
Pacific Hills Manor 370 Noble Court, Morgan Hill, CA 95037
Ukiah Post Acute 1349 South Dora St., Ukiah, CA 95482
Casa De Las Campanas 18655 W. Bernardo Drive, San Diego, CA 92127
California Post-acute Care 3615 E. Imperial Hiwy, Lynwood, CA 90262
Sunny View Manor 22445 Cupertino Road, Cupertino, CA 95014
Sharon Care Center 8167 West Third St., Los Angeles, CA 90048
Windsor Country Drive Care Center 2500 Country Drive, Fremont, CA 94536
Cottonwood Post-acute Rehab 625 Cottonwood Street, Woodland, CA 95695
English Oaks Conv & Rehab Hospital 2633 West Rumble Rd, Modesto, CA 95350
Century Villa, Inc 301 Centinela Ave, Inglewood, CA 90302