Plum Tree Care Center is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #055866. The provider type is Medicare and Medicaid. The ownership type is for profit - corporation. The address is 2580 Samaritan Drive, San Jose, CA 95124. The overall rating is 5.
| Federal Provider Number | 055866 |
| Provider Name | PLUM TREE CARE CENTER |
| Legal Business Name | GHC OF LOS GATOS, LLC |
| Address |
2580 Samaritan Drive San Jose CA 95124 |
| County | Santa Clara |
| Telephone | 4083568181 |
| Ownership Type | For profit - Corporation |
| Provider Type | Medicare and Medicaid |
| Date Approved | 1967-12-18 |
| Number of Certified Beds | 76 |
| Average Number of Residents per Day | 46.9 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Abuse Icon |
N Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2. |
| Most Recent Health Inspection More Than 2 Years Ago | N |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Overall Rating | 5 |
| Health Inspection Rating | 3 |
| Quality Measure Rating | 5 |
| Long Stay Quality Measure Rating | 5 |
| Short Stay Quality Measure Rating | 5 |
| Staffing Rating | 5 |
| Registered Nurses Staffing Rating | 5 |
| Reported CNA Staffing Hours per Resident per Day | 2.57665 |
| Reported LPN Staffing Hours per Resident per Day | 1.18744 |
| Reported RN Staffing Hours per Resident per Day | 1.08790 |
| Reported Licensed Staffing Hours per Resident per Day | 2.27534 |
| Reported Total Nurse Staffing Hours per Resident per Day | 4.85199 |
| Reported Physical Therapist Staffing Hours per Resident Per Day | 0.19758 |
| Expected CNA Staffing Hours per Resident per Day | 2.16201 |
| Expected LPN Staffing Hours per Resident per Day | 0.70436 |
| Expected RN Staffing Hours per Resident per Day | 0.31999 |
| Expected Total Nurse Staffing Hours per Resident per Day | 3.18636 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.45364 |
| Adjusted LPN Staffing Hours per Resident per Day | 1.24906 |
| Adjusted RN Staffing Hours per Resident per Day | 1.36060 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 4.87261 |
| Rating Cycle 1 Standard Survey Health Date | 2019-09-19 |
| Rating Cycle 1 Total Number of Health Deficiencies | 17 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 16 |
| Rating Cycle 1 Number of Complavarchar Health Deficiencies | 0 |
| Rating Cycle 1 Health Deficiency Score | 96 |
| Rating Cycle 1 Number of Health Revisits | 1 |
| Rating Cycle 1 Health Revisit Score | 0 |
| Rating Cycle 1 Total Health Score | 96 |
| Rating Cycle 2 Standard Health Survey Date | 2018-08-24 |
| Rating Cycle 2 Total Number of Health Deficiencies | 10 |
| Rating Cycle 2 Number of Standard Health Deficiencies | 8 |
| Rating Cycle 2 Number of Complavarchar Health Deficiencies | 2 |
| Rating Cycle 2 Health Deficiency Score | 52 |
| Rating Cycle 2 Number of Health Revisits | 1 |
| Rating Cycle 2 Health Revisit Score | 0 |
| Rating Cycle 2 Total Health Score | 52 |
| Rating Cycle 3 Standard Health Survey Date | 2017-08-24 |
| Rating Cycle 3 Total Number of Health Deficiencies | 9 |
| Rating Cycle 3 Number of Standard Health Deficiencies | 6 |
| Rating Cycle 3 Number of Complavarchar Health Deficiencies | 3 |
| Rating Cycle 3 Health Deficiency Score | 72 |
| Rating Cycle 3 Number of Health Revisits | 1 |
| Rating Cycle 3 Health Revisit Score | 0 |
| Rating Cycle 3 Total Health Score | 72 |
| Total Weighted Health Survey Score | 77.333 |
| Number of Facility Reported Incidents | 1 |
| Number of Substantiated Complavarchars | 3 |
| Number of Citations from Infection Control Inspections | 1 |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | 0.00 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Processing Date | 2021-05-01 |
| Notes |
CMS: Centers for Medicare & Medicaid Services CNA: Certified Nursing Assistant LPN: Licensed Practical Nurse RN: Registered Nurse |
| Role Played | Owner Name | Owner Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | LIFE GENERATIONS HEALTHCARE, LLC | Organization | 100% | since 11/01/1998 |
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | MASTROCOLA, LOIS | Individual | NO PERCENTAGE PROVIDED | since 02/01/1998 |
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | OLDS, THOMAS | Individual | NO PERCENTAGE PROVIDED | since 02/01/1998 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | SMITH, FRED | Individual | NO PERCENTAGE PROVIDED | since 02/01/1998 |
| 5% OR GREATER SECURITY INTEREST | WELLS FARGO BANK, N.A. | Organization | since 07/03/2018 | |
| DIRECTOR | MASTROCOLA, LOIS | Individual | since 02/01/1998 | |
| DIRECTOR | OLDS, THOMAS | Individual | since 02/01/1998 | |
| MANAGING EMPLOYEE | CLAWSON, IAN | Individual | since 04/01/2016 | |
| OFFICER | MASTROCOLA, LOIS | Individual | since 02/01/1998 | |
| OFFICER | OLDS, THOMAS | Individual | since 02/01/1998 | |
| OPERATIONAL/MANAGERIAL CONTROL | LIFE GENERATIONS HEALTHCARE, LLC | Organization | since 11/01/1998 |
| Street Address |
2580 SAMARITAN DRIVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124 |
| Nursing Home Name | Address | Telephone | Date Approved | Overall Rating |
|---|---|---|---|---|
| Almaden Health and Rehabilitation Center · Almaden Operating Company, Lp | 2065 Los Gatos-Almaden Road, San Jose, CA 95124 | 4083779275 | 1969-06-01 | 5 |
| Nursing Home Name | Address | Telephone | Date Approved | Overall Rating |
|---|---|---|---|---|
| O'Connor Hospital Dp/Snf | 2105 Forest Avenue, San Jose, CA 95128 | 4089472831 | 1994-04-04 | 5 |
| A Grace Sub Acute & Skilled Care · Lita & Ava Inc. | 1250 S. Winchester Boulevard, San Jose, CA 95128 | 4082413844 | 1980-07-01 | 2 |
| Westwood Post Acute · Glacier Bay Holdings LLC | 1601 Petersen Avenue, San Jose, CA 95129 | 4082537502 | 1978-07-01 | 3 |
| The Redwoods Post-Acute · Better Care Inc | 1267 Meridian Avenue, San Jose, CA 95125 | 4082654211 | 1970-05-06 | 3 |
| Dycora Transitional Health-San Jose | 401 Ridge Vista Avenue, San Jose, CA 95127 | 4089237232 | 1976-04-08 | 4 |
| The Ridge Post Acute · Fletcher Cove Holdings LLC | 1355 Clayton Road, San Jose, CA 95127 | 4082513070 | 2002-09-05 | 5 |
| San Tomas Convalescent Hospital · Aquinas Corporation | 3580 Payne Avenue, San Jose, CA 95117 | 4082487100 | 1968-03-12 | 2 |
| San Jose Healthcare & Wellness Center LLC | 75 N. 13th Street, San Jose, CA 95112 | 4082952665 | 1975-12-31 | 5 |
| Herman Health Care Center | 2295 Plummer Avenue, San Jose, CA 95125 | 4082690701 | 2005-11-26 | 3 |
| O'Connor Hospital D/P Snf · County of Santa Clara | 2105 Forest Avenue, San Jose, CA 95128 | 4089472831 | 2019-11-07 | |
| Find all nursing homes in the same city | ||||
| Nursing Home Name | Address | Telephone | Date Approved | Overall Rating |
|---|---|---|---|---|
| The Terraces of Los Gatos · Humangood Norcal | 800 Blossom Hill Road, Los Gatos, CA 95032 | 4083561006 | 1993-03-12 | 5 |
| Manorcare Health Services-Green Tree · Manor Care-Greentree of Pittsburgh Pa LLC | 1848 Greentree Road, Pittsburgh, PA 15220 | 4123447744 | 1987-10-07 | 4 |
| Aperion Care Plum Grove · Plum Grove Nursing and Rehab, LLC | 24 South Plum Grove Road, Palatine, IL 60067 | 8473580311 | 1989-09-26 | 3 |
| Bella Healthcare Center · Cherry Tree Health Care Corporation | 410 Terrace Drive, Uniontown, PA 15401 | 7244386000 | 1995-12-19 | 3 |
| Double Tree Post Acute Care Center · 7400 24th Street LLC | 7400 24th Street, Sacramento, CA 95822 | 9164224825 | 1977-08-01 | 2 |
| Willow Tree Care Center · Snh Co Tenant LLC | 2050 S Main St, Delta, CO 81416 | 9708749773 | 1989-03-01 | 5 |
| Los Gatos Meadows Geriatric Hospital · Covia Communities | 110 Wood Road, Los Gatos, CA 95030 | 4083540211 | 1971-07-01 | 5 |
| Hartwyck At Oak Tree, Inc | 2048 Oak Tree Road, Edison, NJ 08820 | 7329062100 | 1987-11-24 | 4 |
| Plum Creek Healthcare Residence · Childress County Hospital District | 5601 Plum Creek Dr, Amarillo, TX 79124 | 8063511000 | 1986-11-25 | 2 |
| Shenandoah Center · 50 Mulberry Tree Street Operations LLC | 50 Mulberry Tree Street, Charles Town, WV 25414 | 3047241101 | 1998-04-16 | 2 |
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This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.