Pacific Rehabilitation & Wellness Center, Lp - Eureka Nursing Home
General Information
UPDATEFederal Provider Number
55334
Provider Name
PACIFIC REHABILITATION & WELLNESS CENTER, LP
Provider Address
2211 HARRISON AVENUE
EUREKA, CA 95501
EUREKA, CA 95501
Provider Phone Number
7074439767
Provider SSA County
110
Provider County Name
Humboldt
Ownership Type
For profit - Partnership
Number of Certified Beds
60
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PACIFIC REHABILITATION & WELLNESS CENTER, LP
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.31792
Reported LPN Staffing Hours per Resident per Day
0.61415
Reported RN Staffing Hours per Resident per Day
1.04151
Reported Licensed Staffing Hours per Resident per Day
1.65566
Reported Total Nurse Staffing Hours per Resident per Day
3.97358
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09151
Expected CNA Staffing Hours per Resident per Day
2.34727
Expected LPN Staffing Hours per Resident per Day
0.58945
Expected RN Staffing Hours per Resident per Day
0.98614
Expected Total Nurse Staffing Hours per Resident per Day
3.92286
Adjusted CNA Staffing Hours per Resident per Day
2.42302
Adjusted LPN Staffing Hours per Resident per Day
0.86478
Adjusted RN Staffing Hours per Resident per Day
0.78916
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08302
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-05-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
259
Cycle 2 Standard Health Survey Date
2013-05-10
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
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
143.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
10800
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Granada Rehabilitation & Wellness Center, Lp
2885 Harris Street |
EUREKA CA 95503 | 0.5 mile away
Eureka Rehabilitation & Wellness Center, Lp
2353 Twenty-third St |
EUREKA CA 95501 | 1.6 miles away
Seaview Rehabilitation & Wellness Center, Lp
6400 Purdue Drive |
EUREKA CA 95503 | 5.2 miles away
Fortuna Rehabilitation And Wellness Center, Lp
2321 Newburg Road |
FORTUNA CA 95540 | 13.6 miles away
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