Edgemoor Hospital - Santee Nursing Home
General Information
UPDATEFederal Provider Number
55008
Provider Name
EDGEMOOR HOSPITAL
Provider Address
655 PARK CENTER DRIVE
SANTEE, CA 92071
SANTEE, CA 92071
Provider Phone Number
6195965500
Provider SSA County
470
Provider County Name
San Diego
Ownership Type
Government - County
Number of Certified Beds
192
Number of Residents in Certified Beds
190
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF SAN DIEGO
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
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
3.83737
Reported LPN Staffing Hours per Resident per Day
0.40526
Reported RN Staffing Hours per Resident per Day
1.02316
Reported Licensed Staffing Hours per Resident per Day
1.42842
Reported Total Nurse Staffing Hours per Resident per Day
5.26579
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03158
Expected CNA Staffing Hours per Resident per Day
2.60437
Expected LPN Staffing Hours per Resident per Day
0.65328
Expected RN Staffing Hours per Resident per Day
0.90931
Expected Total Nurse Staffing Hours per Resident per Day
4.16696
Adjusted CNA Staffing Hours per Resident per Day
3.61537
Adjusted LPN Staffing Hours per Resident per Day
0.51489
Adjusted RN Staffing Hours per Resident per Day
0.84075
Adjusted Total Nurse Staffing Hours per Resident per Day
5.09386
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-09-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-08-09
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
13
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
14
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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