CASTRO VALLEY HEALTHCARE AND REHABILITATION CENTER
CASTRO VALLEY HEALTHCARE AND REHABILITATION CENTER
20259 LAKE CHABOT RD.
CASTRO VALLEY, CA 94546
County: ALAMEDA
Phone: (510) 351-3700
Fax: (510) 582-3722
License InformationLicensee: LifeHouse Castro Valley Operations, LLC
20259 Lake Chabot Road
Castro Valley, CA 94546
License Number: 020000018
License Status: Active
License Category: Skilled Nursing Facility
License Effective Date: 5/1/2009
Expiration Date: 4/30/2010
Total License Capacity: 91
Bed Classification/Services:
91 Skilled Nursing
Other Approved Services:
Speech Pathology
Social Services
Physical Therapy
Occupational Therapy
Certification Information
Title 18 = Medicare
Title 19 = Medi-Cal (Medicaid)Provider Category: SNF/NF
Last Certification Inspection Status: In Compliance
Certification Status: Eligible to Participate
Approval Date: 1/6/2009
Complaints/Entity Reported Incidents/Inspection Results SummaryYear: 2009
1 Complaints Complaints
0 Entity Reported Incidents Entity Reported Incidents
0 State Enforcement Actions Enforcement Actions
3 Survey Deficiencies Survey Deficiencies
Year: 2008
26 Complaints Complaints
6 Entity Reported Incidents Entity Reported Incidents
0 State Enforcement Actions Enforcement Actions
21 Survey Deficiencies Survey Deficiencies
Year: 2007
41 Complaints Complaints
32 Entity Reported Incidents Entity Reported Incidents
2 State Enforcement Actions Enforcement Actions
28 Survey Deficiencies Survey Deficiencies
Year: 2006
34 Complaints Complaints
23 Entity Reported Incidents Entity Reported Incidents
0 State Enforcement Actions Enforcement Actions
38 Survey Deficiencies Survey Deficiencies
Year: 2005
13 Complaints Complaints
7 Entity Reported Incidents Entity Reported Incidents
0 State Enforcement Actions Enforcement Actions
21 Survey Deficiencies Survey Deficiencies
Year: 2004
9 Complaints Complaints
0 Entity Reported Incidents Entity Reported Incidents
0 State Enforcement Actions Enforcement Actions
7 Survey Deficiencies Survey Deficiencies
Administration Information5/1/2008
to Present LifeHouse Castro Valley Operations, LLC
Relationship to Facility: Licensee
5/2/2009
to Present Maginnis, Pam K
Relationship to Facility: Administrator
8/1/2007
to Present Lagatuz, Cynthia
Relationship to Facility: Administrator
7/8/2008
to Present Sankoh, Mariana E
Relationship to Facility: Director of Nursing
5/1/2008
to Present Buenaflor, Buena
Relationship to Facility: Director of Nursing
Ownership InformationTo request additional ownership information about this facility, please click the ownership name below.
5/1/2008
to Present LifeHouse Health Services, LLC
Relationship to Facility: Parent Company
Percentage of Ownership: 100
5/1/2008
to Present Nev-Cal Associates, L.P.
Relationship to Facility: Property Owner
Percentage of Ownership: 0
Operating Entities5/1/2008
to Present Andriotti, Lou
Relationship to Facility: Corporate Officer
5/1/2008
to Present Clark, Tracy
Relationship to Facility: Corporate Officer
5/1/2008
to Present Farber, Rowan
Relationship to Facility: Corporate Officer
5/1/2008
to Present Fenton, Peter
Relationship to Facility: Corporate Officer
Copyright © 2007 State of California
Votes:32
Comments: 0