St Johns Pleasant Valley Hospital D/p Snf - Camarillo Nursing Home
General Information
UPDATEFederal Provider Number
555223
Provider Name
ST JOHNS PLEASANT VALLEY HOSPITAL D/P SNF
Provider Address
2309 ANTONIO AVE
CAMARILLO, CA 93010
CAMARILLO, CA 93010
Provider Phone Number
8053895853
Provider SSA County
660
Provider County Name
Ventura
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
DIGNITY HEALTH
Date First Approved to Provide Medicare and Medicaid services
1986-04-17
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
5
Health Inspection Rating Footnote
QM Rating
4
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
3.81818
Reported LPN Staffing Hours per Resident per Day
4.05227
Reported RN Staffing Hours per Resident per Day
1.55909
Reported Licensed Staffing Hours per Resident per Day
5.61136
Reported Total Nurse Staffing Hours per Resident per Day
9.42954
Reported Physical Therapist Staffing Hours per Resident Per Day
0.26023
Expected CNA Staffing Hours per Resident per Day
2.82862
Expected LPN Staffing Hours per Resident per Day
1.39534
Expected RN Staffing Hours per Resident per Day
1.82499
Expected Total Nurse Staffing Hours per Resident per Day
6.04895
Adjusted CNA Staffing Hours per Resident per Day
3.31209
Adjusted LPN Staffing Hours per Resident per Day
2.41045
Adjusted RN Staffing Hours per Resident per Day
0.63833
Adjusted Total Nurse Staffing Hours per Resident per Day
6.28366
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-09-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-09-12
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-09-25
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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
Nursiong Homes Nearby
Brookdale Camarillo
6000 Santa Rosa Road |
CAMARILLO CA 93012 | 2.3 miles away
Camarillo Healthcare Center
205 Granada St |
CAMARILLO CA 93010 | 2.8 miles away
Mary Health Of The Sick Convalescent & Nursing Hos
2929 Theresa Dr |
NEWBURY PARK CA 91320 | 6.4 miles away
Oakview Skilled Nursing
3557 Campus Dr |
THOUSAND OAKS CA 91360 | 8 miles away
Vista Cove Care Center At Santa Paula
250 March St |
SANTA PAULA CA 93060 | 8 miles away
Thousand Oaks Healthcare Center
93 W Avenida De Los Arboles |
THOUSAND OAKS CA 91360 | 8.3 miles away
Oxnard Manor Healthcare Center
1400 W Gonzales Rd |
OXNARD CA 93030 | 8.3 miles away
Glenwood Care Center
1300 North C St |
OXNARD CA 93030 | 9.4 miles away
Maywood Acres Healthcare
2641 South C St |
OXNARD CA 93033 | 10.4 miles away
Victoria Care Center
5445 Everglades St |
VENTURA CA 93003 | 11.3 miles away
Shoreline Care Center
5225 South J St |
OXNARD CA 93033 | 11.4 miles away
Westlake Health Care Center
250 Fairview Rd |
WESTLAKE VILLAGE CA 91361 | 11.6 miles away
Greenfield Care Center Of Fillmore, Llc
118 B St |
FILLMORE CA 93015 | 11.8 miles away
Coastal View Healthcare Center
4904 Telegraph Rd |
VENTURA CA 93003 | 12.1 miles away
Ventura Convalescent Hospital
4020 Loma Vista Rd |
VENTURA CA 93003 | 12.9 miles away
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