Capistrano Beach Care Center - Capistrano Beach Nursing Home
General Information
UPDATEFederal Provider Number
55585
Provider Name
CAPISTRANO BEACH CARE CENTER
Provider Address
35410 DEL REY
CAPISTRANO BEACH, CA 92624
CAPISTRANO BEACH, CA 92624
Provider Phone Number
9494965786
Provider SSA County
400
Provider County Name
Orange
Ownership Type
For profit - Corporation
Number of Certified Beds
93
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CAPISTRANO BEACH CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1971-12-31
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.74753
Reported LPN Staffing Hours per Resident per Day
1.15062
Reported RN Staffing Hours per Resident per Day
1.14321
Reported Licensed Staffing Hours per Resident per Day
2.29383
Reported Total Nurse Staffing Hours per Resident per Day
5.04136
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25062
Expected CNA Staffing Hours per Resident per Day
2.45121
Expected LPN Staffing Hours per Resident per Day
0.62646
Expected RN Staffing Hours per Resident per Day
1.13309
Expected Total Nurse Staffing Hours per Resident per Day
4.21076
Adjusted CNA Staffing Hours per Resident per Day
2.75032
Adjusted LPN Staffing Hours per Resident per Day
1.52446
Adjusted RN Staffing Hours per Resident per Day
0.75387
Adjusted Total Nurse Staffing Hours per Resident per Day
4.82602
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-03-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-02-04
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
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-07-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
44623
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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