Veterans Home of California - Redding
3400 Knighton Road, Redding, CA 96002


Veterans Home of California - Redding is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555891. The address is 3400 Knighton Road, Redding, CA 96002. The zip code is 96002. The phone number is 5302243300.


Veterans Home of California - Redding · 3400 Knighton Road, Redding, CA 96002

Federal Provider Number 555891
Provider Name VETERANS HOME OF CALIFORNIA - REDDING
Address 3400 KNIGHTON ROAD
REDDING, CA 96002
Phone Number 5302243300
SSA County Code 550
County Name Shasta
Ownership Type Government - State
Certified Beds 60
Certified Beds Residents 46
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA
Date First Approved to Provide Medicare Medicaid Services 04/29/2015
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 Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 4
Quality Measure Rating 3
Staffing Rating Footnote Data Not Available
RN Staffing Rating Footnote Data Not Available
Reported Staffing Footnote Data Not Available
Physical Therapist Staffing Footnote Data Not Available
Expected CNA Staffing Hours per Resident per Day 2.10594
Expected LPN Staffing Hours per Resident per Day 0.5216
Expected RN Staffing Hours per Resident per Day 0.78121
Expected Total Nurse Staffing Hours per Resident per Day 3.40876
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 36
Cycle 1 Standard Survey Health Date 05/19/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 36
Cycle 2 Total Number of Health Deficiencies 7
Cycle 2 Number of Standard Health Deficiencies 7
Cycle 2 Health Deficiency Score 36
Cycle 2 Standard Health Survey Date 04/21/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 36
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Standard Health Survey Date 03/19/2015
Cycle 3 Number of Health Revisits 1
Total Weighted Health Survey Score 30
Number of Facility Reported Incidents 1
Number of Fines 1
Total Amount of Fines in Dollars $3097.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Veterans Home of California - Redding

Owner Name Role Association Date
BOUSEMAN, TIMOTHY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 10/22/2013
DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 10/22/2013
JONES, STANLEY (Individual) MANAGING EMPLOYEE since 06/18/2014
LINDSEY, CINDY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 10/22/2013
SCHULZ, KATHLEEN (Individual) MANAGING EMPLOYEE since 06/18/2014

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