Greenfield Care Center Of Fillmore, Llc - Fillmore Nursing Home
General Information
UPDATEFederal Provider Number
555066
Provider Name
GREENFIELD CARE CENTER OF FILLMORE, LLC
Provider Address
118 B ST
FILLMORE, CA 93015
FILLMORE, CA 93015
Provider Phone Number
8055240083
Provider SSA County
660
Provider County Name
Ventura
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GREENFIELD CARE CENTER OF FILLMORE LLC
Date First Approved to Provide Medicare and Medicaid services
1977-05-20
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.71488
Reported LPN Staffing Hours per Resident per Day
0.38214
Reported RN Staffing Hours per Resident per Day
0.81369
Reported Licensed Staffing Hours per Resident per Day
1.19583
Reported Total Nurse Staffing Hours per Resident per Day
3.91071
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06786
Expected CNA Staffing Hours per Resident per Day
2.38235
Expected LPN Staffing Hours per Resident per Day
0.57740
Expected RN Staffing Hours per Resident per Day
0.87242
Expected Total Nurse Staffing Hours per Resident per Day
3.83217
Adjusted CNA Staffing Hours per Resident per Day
2.79619
Adjusted LPN Staffing Hours per Resident per Day
0.54932
Adjusted RN Staffing Hours per Resident per Day
0.69690
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11352
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-03-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-02-13
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
20
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-04-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
64.00000
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
5
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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