Riverwood Healthcare Center
5320 Carrington Circle, Stockton, CA 95210


Riverwood Healthcare Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555496. The address is 5320 Carrington Circle, Stockton, CA 95210. The zip code is 95210. The phone number is 2094733004.


Riverwood Healthcare Center · 5320 Carrington Circle, Stockton, CA 95210

Federal Provider Number 555496
Provider Name RIVERWOOD HEALTHCARE CENTER
Address 5320 CARRINGTON CIRCLE
STOCKTON, CA 95210
Phone Number 2094733004
SSA County Code 490
County Name San Joaquin
Ownership Type For profit - Corporation
Certified Beds 99
Certified Beds Residents 93
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name ASCC LLC
Date First Approved to Provide Medicare Medicaid Services 04/01/1992
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 4
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.2629
Reported LPN Staffing Hours per Resident per Day 0.86882
Reported RN Staffing Hours per Resident per Day 0.79516
Reported Licensed Staffing Hours per Resident per Day 1.66398
Reported Total Nurse Staffing Hours per Resident per Day 3.92688
Reported Physical Therapist Staffing Hours per Resident Per Day 0.07849
Expected CNA Staffing Hours per Resident per Day 2.44384
Expected LPN Staffing Hours per Resident per Day 0.6651
Expected RN Staffing Hours per Resident per Day 1.02263
Expected Total Nurse Staffing Hours per Resident per Day 4.13157
Adjusted CNA Staffing Hours per Resident per Day 2.27203
Adjusted LPN Staffing Hours per Resident per Day 1.08423
Adjusted RN Staffing Hours per Resident per Day 0.581
Adjusted Total Nurse Staffing Hours per Resident per Day 3.8312
Cycle 1 Total Number of Health Deficiencies 13
Cycle 1 Number of Standard Health Deficiencies 11
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 96
Cycle 1 Standard Survey Health Date 01/25/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 96
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Number of Complaint Health Deficiencies 3
Cycle 2 Health Deficiency Score 36
Cycle 2 Standard Health Survey Date 01/14/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 36
Cycle 3 Total Number of Health Deficiencies 23
Cycle 3 Number of Standard Health Deficiencies 10
Cycle 3 Number of Complaint Health Deficiencies 14
Cycle 3 Health Deficiency Score 116
Cycle 3 Standard Health Survey Date 01/09/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 116
Total Weighted Health Survey Score 79.333
Number of Facility Reported Incidents 10
Number of Substantiated Complaints 11
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Riverwood Healthcare Center

Owner Name Role Association Date
ASPEN SKILLED HEALTHCARE INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 06/25/2013
BRADSHAW, JEFFREY (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
21%
since 06/25/2013
BRADSHAW, JEFFREY (Individual) OFFICER since 06/25/2013
BRADY, VERN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
since 06/25/2013
BRADY, VERN (Individual) OFFICER since 06/25/2013
CASE, RYAN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
since 06/25/2013
CASE, RYAN (Individual) OFFICER since 06/25/2013
GITTLEMAN, MARTIN (Individual) MANAGING EMPLOYEE since 06/25/2013
SAMUELOTT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
since 06/25/2013

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