Meadowood A Health and Rehabilitation Center
3110 Wagner Heights Road, Stockton, CA 95209


Meadowood A Health and Rehabilitation Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555713. The address is 3110 Wagner Heights Road, Stockton, CA 95209. The zip code is 95209. The phone number is 2099563444.


Meadowood A Health and Rehabilitation Center · 3110 Wagner Heights Road, Stockton, CA 95209

Federal Provider Number 555713
Provider Name MEADOWOOD A HEALTH AND REHABILITATION CENTER
Address 3110 WAGNER HEIGHTS ROAD
STOCKTON, CA 95209
Phone Number 2099563444
SSA County Code 490
County Name San Joaquin
Ownership Type For profit - Corporation
Certified Beds 100
Certified Beds Residents 87
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name O'CONNOR WOODS HOUSING CORP
Date First Approved to Provide Medicare Medicaid Services 10/10/1997
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 4
Health Inspection Rating 4
Quality Measure Rating 4
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.75862
Reported LPN Staffing Hours per Resident per Day 0.73563
Reported RN Staffing Hours per Resident per Day 1.11667
Reported Licensed Staffing Hours per Resident per Day 1.8523
Reported Total Nurse Staffing Hours per Resident per Day 4.61092
Reported Physical Therapist Staffing Hours per Resident Per Day 0.16092
Expected CNA Staffing Hours per Resident per Day 2.50528
Expected LPN Staffing Hours per Resident per Day 0.66867
Expected RN Staffing Hours per Resident per Day 1.22551
Expected Total Nurse Staffing Hours per Resident per Day 4.39947
Adjusted CNA Staffing Hours per Resident per Day 2.70182
Adjusted LPN Staffing Hours per Resident per Day 0.91311
Adjusted RN Staffing Hours per Resident per Day 0.68084
Adjusted Total Nurse Staffing Hours per Resident per Day 4.22464
Cycle 1 Total Number of Health Deficiencies 13
Cycle 1 Number of Standard Health Deficiencies 10
Cycle 1 Number of Complaint Health Deficiencies 3
Cycle 1 Health Deficiency Score 52
Cycle 1 Standard Survey Health Date 11/10/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 52
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Health Deficiency Score 16
Cycle 2 Standard Health Survey Date 11/05/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 16
Cycle 3 Total Number of Health Deficiencies 12
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Number of Complaint Health Deficiencies 7
Cycle 3 Health Deficiency Score 76
Cycle 3 Standard Health Survey Date 12/05/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 76
Total Weighted Health Survey Score 44
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 12
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Meadowood A Health and Rehabilitation Center

Owner Name Role Association Date
BENEDEITI, ROBERT (Individual) DIRECTOR since 11/07/2007
CANNING, RICHARD (Individual) DIRECTOR since 10/22/2008
GREENE, CHRISTOPHER (Individual) DIRECTOR since 10/22/2008
O'CONNOR WOODS HOUSING CORP (Organization) OPERATIONAL/MANAGERIAL CONTROL since 10/10/1997
SCHROEDER, EDWARD (Individual) DIRECTOR since 10/22/2008
SILVA, LOIS (Individual) DIRECTOR since 11/08/2007
SINCLAIR, RICHARD (Individual) MANAGING EMPLOYEE since 10/22/2008

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