Manorcare Health Services (sunnyvale)
1150 Tilton Drive, Sunnyvale, CA 94087


Manorcare Health Services (sunnyvale) is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555444. The address is 1150 Tilton Drive, Sunnyvale, CA 94087. The zip code is 94087. The phone number is 4087357200.


Manorcare Health Services (sunnyvale) · 1150 Tilton Drive, Sunnyvale, CA 94087

Federal Provider Number 555444
Provider Name MANORCARE HEALTH SERVICES (SUNNYVALE)
Address 1150 TILTON DRIVE
SUNNYVALE, CA 94087
Phone Number 4087357200
SSA County Code 530
County Name Santa Clara
Ownership Type For profit - Corporation
Certified Beds 140
Certified Beds Residents 92
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name MANOR CARE OF SUNNYVALE CA LLC
Date First Approved to Provide Medicare Medicaid Services 01/03/1991
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 5
Reported CNA Staffing Hours per Resident per Day 2.37826
Reported LPN Staffing Hours per Resident per Day 0.62989
Reported RN Staffing Hours per Resident per Day 1.34076
Reported Licensed Staffing Hours per Resident per Day 1.97065
Reported Total Nurse Staffing Hours per Resident per Day 4.34891
Reported Physical Therapist Staffing Hours per Resident Per Day 0.21141
Expected CNA Staffing Hours per Resident per Day 2.62798
Expected LPN Staffing Hours per Resident per Day 0.73062
Expected RN Staffing Hours per Resident per Day 1.23866
Expected Total Nurse Staffing Hours per Resident per Day 4.59726
Adjusted CNA Staffing Hours per Resident per Day 2.22054
Adjusted LPN Staffing Hours per Resident per Day 0.71557
Adjusted RN Staffing Hours per Resident per Day 0.80879
Adjusted Total Nurse Staffing Hours per Resident per Day 3.81315
Cycle 1 Total Number of Health Deficiencies 6
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Health Deficiency Score 28
Cycle 1 Standard Survey Health Date 12/23/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 28
Cycle 2 Total Number of Health Deficiencies 12
Cycle 2 Number of Standard Health Deficiencies 12
Cycle 2 Health Deficiency Score 56
Cycle 2 Standard Health Survey Date 12/02/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 56
Cycle 3 Total Number of Health Deficiencies 8
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 36
Cycle 3 Standard Health Survey Date 09/15/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 36
Total Weighted Health Survey Score 38.667
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 3
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Manorcare Health Services (sunnyvale)

Owner Name Role Association Date
ALLEN, MARTIN (Individual) DIRECTOR since 07/02/2012
CARLYLE MC PARTNERS, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
CARLYLE PARTNERS V MC HOLDINGS, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
CARLYLE PARTNERS V MC, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HASH, ALAN (Individual) OFFICER since 04/18/2008
HCR HEALTHCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR II HEALTHCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR III HEALTHCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR INC. (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR IV HEALTHCARE, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 12/21/2007
HCR MANOR CARE SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/21/2007
HCR MANORCARE HEARTLAND LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/07/2011
HCR MANORCARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/07/2011
HCR MANORCARE OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/07/2011
HEALTHCARE OPERATIONS HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
HEALTHCARE OPERATIONS INVESTMENTS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
HOOPS, KATHRYN (Individual) OFFICER since 12/21/2007
KACZOR, ELIZABETH (Individual) OFFICER since 09/30/2012
KIGHT, DANIEL (Individual) OFFICER since 09/30/2012
KILE, THOMAS (Individual) OFFICER since 01/01/2010
LANNING, DAVID (Individual) OFFICER since 05/01/2015
MANOR CARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/17/2007
MC OPERATIONS INVESTMENTS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
MCCORMICK, PATRICIA (Individual) OFFICER since 09/30/2012
ORMOND, PAUL (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/2011
ORMOND, PAUL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 08/17/2007
QUALITY CARE PROPERTIES INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
SHIPMAN, DEAN (Individual) MANAGING EMPLOYEE since 05/01/2016
SPENCER, GRACE (Individual) MANAGING EMPLOYEE since 06/03/2015

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