Vibra Hospital of Northern California D/P Snf · Northern California Rehabilitation Hospital LLC

5302454112 · 2801 Eureka Way, Redding, CA 96001

Overview

Vibra Hospital of Northern California D/P Snf is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #555588. The provider type is Medicare and Medicaid. The ownership type is for profit - corporation. The address is 2801 Eureka Way, Redding, CA 96001. The overall rating is 3.

Federal Provider Number 555588
Provider Name VIBRA HOSPITAL OF NORTHERN CALIFORNIA D/P SNF
Legal Business Name NORTHERN CALIFORNIA REHABILITATION HOSPITAL LLC
Address 2801 Eureka Way
Redding
CA 96001
County Shasta
Telephone 5302454112
Ownership Type For profit - Corporation
Provider Type Medicare and Medicaid
Date Approved 1994-02-03
Number of Certified Beds 32
Average Number of Residents per Day 25
Provider Resides in Hospital Y
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 3
Health Inspection Rating 3
Quality Measure Rating 5
Long Stay Quality Measure Rating Footnote Not enough data available to calculate a star rating.
Short Stay Quality Measure Rating 5
Staffing Rating 1 This facility either did not submit staffing data, has reported a high number of days without a registered nurse onsite, or submitted data that could not be verified through an audit.
Registered Nurses Staffing Rating 1 This facility either did not submit staffing data, has reported a high number of days without a registered nurse onsite, or submitted data that could not be verified through an audit.
Reported Staffing Footnote This facility did not submit staffing data, or submitted data that did not meet the criteria required to calculate a staffing measure.
Physical Therapist Staffing Footnote This facility did not submit staffing data, or submitted data that did not meet the criteria required to calculate a staffing measure.
Rating Cycle 1 Standard Survey Health Date 2019-07-12
Rating Cycle 1 Total Number of Health Deficiencies 11
Rating Cycle 1 Number of Standard Health Deficiencies 9
Rating Cycle 1 Number of Complavarchar Health Deficiencies 2
Rating Cycle 1 Health Deficiency Score 52
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 52
Rating Cycle 2 Standard Health Survey Date 2018-07-12
Rating Cycle 2 Total Number of Health Deficiencies 11
Rating Cycle 2 Number of Standard Health Deficiencies 11
Rating Cycle 2 Number of Complavarchar Health Deficiencies 0
Rating Cycle 2 Health Deficiency Score 56
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 56
Rating Cycle 3 Standard Health Survey Date 2017-07-20
Rating Cycle 3 Total Number of Health Deficiencies 10
Rating Cycle 3 Number of Standard Health Deficiencies 6
Rating Cycle 3 Number of Complavarchar Health Deficiencies 4
Rating Cycle 3 Health Deficiency Score 68
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 68
Total Weighted Health Survey Score 56.000
Number of Facility Reported Incidents 4
Number of Substantiated Complavarchars 3
Number of Citations from Infection Control Inspections 0
Number of Fines 1
Total Amount of Fines in Dollars 10000.00
Number of Payment Denials 1
Total Number of Penalties 2
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
VIBRA HOSPITAL OF NORTHERN CALIFORNIA D/P SNF

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTVIBRA HEALTHCARE, LLCOrganizationNO PERCENTAGE PROVIDEDsince 10/15/2008
5% OR GREATER INDIRECT OWNERSHIP INTERESTCARR, FRANCISIndividualNO PERCENTAGE PROVIDEDsince 01/01/2009
5% OR GREATER INDIRECT OWNERSHIP INTERESTDIEBOLD, JAMESIndividualNO PERCENTAGE PROVIDEDsince 01/01/2009
5% OR GREATER INDIRECT OWNERSHIP INTERESTHOLLINGER HOLDING COMPANY LLCOrganizationNO PERCENTAGE PROVIDEDsince 01/28/2015
5% OR GREATER INDIRECT OWNERSHIP INTERESTHOLLINGER, BRADIndividualNO PERCENTAGE PROVIDEDsince 06/30/2005
5% OR GREATER SECURITY INTERESTMIDCAP FUNDING IV, LLCOrganizationsince 01/28/2015
5% OR GREATER SECURITY INTERESTVIBRA RE REDDING LLCOrganizationsince 06/04/2018
MANAGING EMPLOYEECENIZA-SAELEE, SHEBAIndividualsince 06/02/2014
MANAGING EMPLOYEEDEFILLIPO, EMILYIndividualsince 05/18/2020
MANAGING EMPLOYEESTEVENS, LISAIndividualsince 10/20/2008
OFFICERFEGAN, CLINTIndividualsince 06/24/2005
OFFICERHOLLINGER, BRADIndividualsince 06/24/2005
OFFICERHOLLINGER, KELLYIndividualsince 03/01/2020
OPERATIONAL/MANAGERIAL CONTROLVIBRA MANAGEMENT, LLCOrganizationsince 10/15/2008

Location Information

Street Address 2801 EUREKA WAY
City REDDING
State CA
Zip Code 96001

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Dataset Information

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.