Vi At Palo Alto
600 Sand Hill Road, Palo Alto, CA 94304


Vi At Palo Alto is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555835. The address is 600 Sand Hill Road, Palo Alto, CA 94304. The zip code is 94304. The phone number is 6508535001.


Vi At Palo Alto · 600 Sand Hill Road, Palo Alto, CA 94304

Federal Provider Number 555835
Provider Name VI AT PALO ALTO
Address 600 SAND HILL ROAD
PALO ALTO, CA 94304
Phone Number 6508535001
SSA County Code 530
County Name Santa Clara
Ownership Type For profit - Corporation
Certified Beds 44
Certified Beds Residents 37
Provider Type Medicare
Resides in Hospital false
Legal Business Name CC-PALO ALTO, INC.
Date First Approved to Provide Medicare Medicaid Services 09/07/2006
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 5
Health Inspection Rating 5
Quality Measure Rating 5
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 3.41351
Reported LPN Staffing Hours per Resident per Day 0.81892
Reported RN Staffing Hours per Resident per Day 1.54324
Reported Licensed Staffing Hours per Resident per Day 2.36216
Reported Total Nurse Staffing Hours per Resident per Day 5.77567
Reported Physical Therapist Staffing Hours per Resident Per Day 0.38514
Expected CNA Staffing Hours per Resident per Day 2.42753
Expected LPN Staffing Hours per Resident per Day 0.69687
Expected RN Staffing Hours per Resident per Day 1.32218
Expected Total Nurse Staffing Hours per Resident per Day 4.44658
Adjusted CNA Staffing Hours per Resident per Day 3.45032
Adjusted LPN Staffing Hours per Resident per Day 0.97536
Adjusted RN Staffing Hours per Resident per Day 0.87213
Adjusted Total Nurse Staffing Hours per Resident per Day 5.23574
Cycle 1 Total Number of Health Deficiencies 2
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Health Deficiency Score 8
Cycle 1 Standard Survey Health Date 08/19/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 8
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Health Deficiency Score 48
Cycle 2 Standard Health Survey Date 09/21/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 48
Cycle 3 Total Number of Health Deficiencies 1
Cycle 3 Number of Standard Health Deficiencies 1
Cycle 3 Health Deficiency Score 4
Cycle 3 Standard Health Survey Date 08/15/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 4
Total Weighted Health Survey Score 20.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Vi At Palo Alto

Owner Name Role Association Date
ANDERSEN, JOACHIM (Individual) MANAGING EMPLOYEE since 08/16/2010
BRUDNICK, STEVE (Individual) MANAGING EMPLOYEE since 06/06/2006
CC-DEVELOPMENT GROUP, INC. (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 06/23/1999
CLASSIC RESIDENCE MANAGEMENT LIMITED PARTNERSHIP (Organization) OPERATIONAL/MANAGERIAL CONTROL since 08/01/2000
FIELDS, STEPHANIE (Individual) DIRECTOR since 05/08/2006
FIELDS, STEPHANIE (Individual) OFFICER since 08/05/2003
P. G. - DANIEL TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2012
P. G. - DON #3 TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2012
P. G. - JEAN TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2012
P. G. - JIM TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2012
P. G. - JOHNNY TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2012
P. G. - KAREN TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2012
P. G. - LINDA TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2012
P. G. - NICHOLAS TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2012
P. G. - PENNY TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2012
P. G. - TOM TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2012
P. G. - TONY TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2012
POORMAN, JOHN (Individual) OFFICER since 06/23/1999
RICHARDSON, RANDAL (Individual) OFFICER since 06/30/2002
SCIORTINO, WILLIAM (Individual) DIRECTOR since 05/08/2006
SMITH, GARY (Individual) DIRECTOR since 05/08/2006
SMITH, GARY (Individual) OFFICER since 06/13/2002

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