Lincoln Square Post Acute Care
1032 N. Lincoln Street, Stockton, CA 95203


Lincoln Square Post Acute Care is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555186. The address is 1032 N. Lincoln Street, Stockton, CA 95203. The zip code is 95203. The phone number is 2094665341.


Lincoln Square Post Acute Care · 1032 N. Lincoln Street, Stockton, CA 95203

Federal Provider Number 555186
Provider Name LINCOLN SQUARE POST ACUTE CARE
Address 1032 N. LINCOLN STREET
STOCKTON, CA 95203
Phone Number 2094665341
SSA County Code 490
County Name San Joaquin
Ownership Type For profit - Corporation
Certified Beds 68
Certified Beds Residents 54
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name STOCKTON HEALTH CARE SERVICES, INC.
Date First Approved to Provide Medicare Medicaid Services 04/09/1985
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 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.97685
Reported LPN Staffing Hours per Resident per Day 1.7963
Reported RN Staffing Hours per Resident per Day 2.13148
Reported Licensed Staffing Hours per Resident per Day 3.92778
Reported Total Nurse Staffing Hours per Resident per Day 6.90463
Reported Physical Therapist Staffing Hours per Resident Per Day 0.5213
Expected CNA Staffing Hours per Resident per Day 2.60666
Expected LPN Staffing Hours per Resident per Day 0.82096
Expected RN Staffing Hours per Resident per Day 1.63121
Expected Total Nurse Staffing Hours per Resident per Day 5.05883
Adjusted CNA Staffing Hours per Resident per Day 2.80217
Adjusted LPN Staffing Hours per Resident per Day 1.81609
Adjusted RN Staffing Hours per Resident per Day 0.97635
Adjusted Total Nurse Staffing Hours per Resident per Day 5.50164
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 48
Cycle 1 Standard Survey Health Date 08/19/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 48
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Health Deficiency Score 28
Cycle 2 Standard Health Survey Date 09/04/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 28
Cycle 3 Total Number of Health Deficiencies 1
Cycle 3 Number of Standard Health Deficiencies 1
Cycle 3 Health Deficiency Score 4
Cycle 3 Standard Health Survey Date 09/18/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 4
Total Weighted Health Survey Score 34
Number of Facility Reported Incidents 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Lincoln Square Post Acute Care

Owner Name Role Association Date
DAVEY JAY LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/11/2011
LAWS, DONALD (Individual) DIRECTOR since 04/01/2009
OAKLEAF HOLDING LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/12/2012
OLSEN, SPENCER (Individual) OFFICER since 09/01/2011
PYPER, BENJAMIN (Individual) MANAGING EMPLOYEE since 09/01/2013
SORENSEN, DAVID (Individual) DIRECTOR since 04/01/2009
SORENSEN, JOHN (Individual) DIRECTOR since 04/01/2009
VERMILLION INVESTMENT CO LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2010

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