Kaiser Permanente Post-acute Care Center
1440 168th Avenue, San Leandro, CA 94578


Kaiser Permanente Post-acute Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555779. The address is 1440 168th Avenue, San Leandro, CA 94578. The zip code is 94578. The phone number is 5104818575.


Kaiser Permanente Post-acute Care Center · 1440 168th Avenue, San Leandro, CA 94578

Federal Provider Number 555779
Provider Name KAISER PERMANENTE POST-ACUTE CARE CENTER
Address 1440 168TH AVENUE
SAN LEANDRO, CA 94578
Phone Number 5104818575
County Name Alameda
Ownership Type Non profit - Corporation
Certified Beds 176
Certified Beds Residents 99
Provider Type Medicare
Resides in Hospital false
Legal Business Name KAISER FOUNDATION HOSPITALS
Date First Approved to Provide Medicare Medicaid Services 01/16/2002
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 4
Quality Measure Rating 1
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 5.28283
Reported LPN Staffing Hours per Resident per Day 2.59192
Reported RN Staffing Hours per Resident per Day 2.15556
Reported Licensed Staffing Hours per Resident per Day 4.74747
Reported Total Nurse Staffing Hours per Resident per Day 10.03031
Reported Physical Therapist Staffing Hours per Resident Per Day 0.30253
Expected CNA Staffing Hours per Resident per Day 2.47787
Expected LPN Staffing Hours per Resident per Day 0.92003
Expected RN Staffing Hours per Resident per Day 1.62909
Expected Total Nurse Staffing Hours per Resident per Day 5.02699
Adjusted CNA Staffing Hours per Resident per Day 5.23129
Adjusted LPN Staffing Hours per Resident per Day 2.33829
Adjusted RN Staffing Hours per Resident per Day 0.98867
Adjusted Total Nurse Staffing Hours per Resident per Day 8.04282
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 5
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 28
Cycle 1 Standard Survey Health Date 09/16/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 28
Cycle 2 Total Number of Health Deficiencies 11
Cycle 2 Number of Standard Health Deficiencies 6
Cycle 2 Number of Complaint Health Deficiencies 6
Cycle 2 Health Deficiency Score 52
Cycle 2 Standard Health Survey Date 08/07/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 52
Cycle 3 Total Number of Health Deficiencies 5
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 40
Cycle 3 Standard Health Survey Date 06/27/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 40
Total Weighted Health Survey Score 38
Number of Facility Reported Incidents 6
Number of Substantiated Complaints 4
Number of Fines 1
Total Amount of Fines in Dollars $1536.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Kaiser Permanente Post-acute Care Center

Owner Name Role Association Date
ADAMS, GREGORY (Individual) MANAGING EMPLOYEE since 04/01/2008
ADAMS, GREGORY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 04/01/2008
BENJAMIN, REGINA (Individual) DIRECTOR since 06/01/2015
CHAPMAN, THOMAS (Individual) DIRECTOR since 03/08/1994
EPSTEIN, JEFFREY (Individual) DIRECTOR since 04/01/2013
GARCIA, DANIEL (Individual) DIRECTOR since 07/16/1992
GRABER, WILLIAM (Individual) DIRECTOR since 10/01/2004
GRIGSBY, JEFFERSON (Individual) DIRECTOR since 04/01/2004
HEISZ, LESLIE (Individual) DIRECTOR since 01/01/2015
HOFFMEISTER, DAVID (Individual) DIRECTOR since 11/01/2014
JOHANSEN, JUDITH (Individual) DIRECTOR since 04/01/2006
JONES, STANLEY (Individual) MANAGING EMPLOYEE since 11/03/2015
JONES, STANLEY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 11/03/2015
KAISER FOUNDATION HOSPITALS (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/04/2001
KAISER, KIM (Individual) DIRECTOR since 04/01/2004
MARINEAU, PHILLIP (Individual) DIRECTOR since 04/01/2004
PEI, EDWARD (Individual) DIRECTOR since 04/01/2006
PORFIDO, MARGARET (Individual) DIRECTOR since 11/01/2011
SANDOVAL-PERRY, JULIE (Individual) MANAGING EMPLOYEE since 09/14/2015
SHANNON, RICHARD (Individual) DIRECTOR since 07/01/2014
TELLES, CYNTHIA (Individual) DIRECTOR since 04/24/2003
TYSON, BERNARD (Individual) DIRECTOR since 12/06/2012

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