Reo Vista Healthcare Center - San Diego Nursing Home
General Information
UPDATEFederal Provider Number
56330
Provider Name
REO VISTA HEALTHCARE CENTER
Provider Address
6061 BANBURY ST.
SAN DIEGO, CA 92139
SAN DIEGO, CA 92139
Provider Phone Number
6194752211
Provider SSA County
470
Provider County Name
San Diego
Ownership Type
For profit - Corporation
Number of Certified Beds
162
Number of Residents in Certified Beds
150
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LILAC HOLDINGS, LLC
Date First Approved to Provide Medicare and Medicaid services
1972-07-11
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.36067
Reported LPN Staffing Hours per Resident per Day
1.16567
Reported RN Staffing Hours per Resident per Day
0.49533
Reported Licensed Staffing Hours per Resident per Day
1.66100
Reported Total Nurse Staffing Hours per Resident per Day
4.02167
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09067
Expected CNA Staffing Hours per Resident per Day
2.61947
Expected LPN Staffing Hours per Resident per Day
0.68086
Expected RN Staffing Hours per Resident per Day
1.09234
Expected Total Nurse Staffing Hours per Resident per Day
4.39268
Adjusted CNA Staffing Hours per Resident per Day
2.21128
Adjusted LPN Staffing Hours per Resident per Day
1.42101
Adjusted RN Staffing Hours per Resident per Day
0.33882
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69045
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-10-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-11-15
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
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-11-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
4
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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