California Park Rehabilitation Hospital
2850 Sierra Sunrise Terrace, Chico, CA 95928


California Park Rehabilitation Hospital is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555625. The address is 2850 Sierra Sunrise Terrace, Chico, CA 95928. The zip code is 95928. The phone number is 5308941010.


California Park Rehabilitation Hospital · 2850 Sierra Sunrise Terrace, Chico, CA 95928

Federal Provider Number 555625
Provider Name CALIFORNIA PARK REHABILITATION HOSPITAL
Address 2850 SIERRA SUNRISE TERRACE
CHICO, CA 95928
Phone Number 5308941010
SSA County Code 30
County Name Butte
Ownership Type For profit - Corporation
Certified Beds 90
Certified Beds Residents 78
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name CHICO REHABILITATION HOSPITAL, LLC
Date First Approved to Provide Medicare Medicaid Services 03/02/1995
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 2
Health Inspection Rating 1
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 3.2609
Reported LPN Staffing Hours per Resident per Day 1.2359
Reported RN Staffing Hours per Resident per Day 0.21026
Reported Licensed Staffing Hours per Resident per Day 1.44615
Reported Total Nurse Staffing Hours per Resident per Day 4.70706
Reported Physical Therapist Staffing Hours per Resident Per Day 0.18654
Expected CNA Staffing Hours per Resident per Day 2.37722
Expected LPN Staffing Hours per Resident per Day 0.64232
Expected RN Staffing Hours per Resident per Day 1.08096
Expected Total Nurse Staffing Hours per Resident per Day 4.10051
Adjusted CNA Staffing Hours per Resident per Day 3.36581
Adjusted LPN Staffing Hours per Resident per Day 1.59701
Adjusted RN Staffing Hours per Resident per Day 0.14534
Adjusted Total Nurse Staffing Hours per Resident per Day 4.62716
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 09/23/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 48
Cycle 2 Total Number of Health Deficiencies 17
Cycle 2 Number of Standard Health Deficiencies 15
Cycle 2 Number of Complaint Health Deficiencies 17
Cycle 2 Health Deficiency Score 245
Cycle 2 Standard Health Survey Date 07/21/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 245
Cycle 3 Total Number of Health Deficiencies 12
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Number of Complaint Health Deficiencies 8
Cycle 3 Health Deficiency Score 411
Cycle 3 Standard Health Survey Date 05/01/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 411
Total Weighted Health Survey Score 174.167
Number of Facility Reported Incidents 5
Number of Substantiated Complaints 2
Number of Fines 4
Total Amount of Fines in Dollars $112719.00
Total Number of Penalties 4
Processing Date 08/01/2017

Owner or Manager · California Park Rehabilitation Hospital

Owner Name Role Association Date
GARCIA, KEITH (Individual) MANAGING EMPLOYEE since 07/26/2010
GORMLY, DONALD (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/11/2006
HOLLOWAY, JERRY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/11/2006

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