Brookdale Yorba Linda - Yorba Linda Nursing Home
General Information
UPDATEFederal Provider Number
555768
Provider Name
BROOKDALE YORBA LINDA
Provider Address
17803 IMPERIAL HIGHWAY
YORBA LINDA, CA 92886
YORBA LINDA, CA 92886
Provider Phone Number
7147779666
Provider SSA County
400
Provider County Name
Orange
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
32
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
EMERICARE INC
Date First Approved to Provide Medicare and Medicaid services
2001-02-15
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.59219
Reported LPN Staffing Hours per Resident per Day
1.54688
Reported RN Staffing Hours per Resident per Day
1.33438
Reported Licensed Staffing Hours per Resident per Day
2.88125
Reported Total Nurse Staffing Hours per Resident per Day
5.47345
Reported Physical Therapist Staffing Hours per Resident Per Day
0.42813
Expected CNA Staffing Hours per Resident per Day
2.39552
Expected LPN Staffing Hours per Resident per Day
0.78417
Expected RN Staffing Hours per Resident per Day
1.69932
Expected Total Nurse Staffing Hours per Resident per Day
4.87900
Adjusted CNA Staffing Hours per Resident per Day
2.65515
Adjusted LPN Staffing Hours per Resident per Day
1.63729
Adjusted RN Staffing Hours per Resident per Day
0.58674
Adjusted Total Nurse Staffing Hours per Resident per Day
4.52202
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
144
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
72
Cycle 1 Total Health Score
216
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
136
Cycle 2 Standard Health Survey Date
2013-07-03
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
17
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
165.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
45500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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