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Blythe Nursing Care Center - Blythe Nursing Home

General Information

UPDATE
Federal Provider Number
555383
Provider Name
BLYTHE NURSING CARE CENTER
Provider Address
285 W. CHANSLORWAY
BLYTHE, CA 92225
Provider Phone Number
7609228176
Provider SSA County
430
Provider County Name
Riverside
Ownership Type
For profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1989-08-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.84111
Reported LPN Staffing Hours per Resident per Day
0.64778
Reported RN Staffing Hours per Resident per Day
0.69889
Reported Licensed Staffing Hours per Resident per Day
1.34667
Reported Total Nurse Staffing Hours per Resident per Day
4.18778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12667
Expected CNA Staffing Hours per Resident per Day
2.46201
Expected LPN Staffing Hours per Resident per Day
0.58922
Expected RN Staffing Hours per Resident per Day
0.94682
Expected Total Nurse Staffing Hours per Resident per Day
3.99805
Adjusted CNA Staffing Hours per Resident per Day
2.83152
Adjusted LPN Staffing Hours per Resident per Day
0.91249
Adjusted RN Staffing Hours per Resident per Day
0.55154
Adjusted Total Nurse Staffing Hours per Resident per Day
4.22219
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-03-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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