Villa Las Palmas Healthcare Center - El Cajon Nursing Home
General Information
UPDATEFederal Provider Number
55806
Provider Name
VILLA LAS PALMAS HEALTHCARE CENTER
Provider Address
622 SOUTH ANZA STREET
EL CAJON, CA 92020
EL CAJON, CA 92020
Provider Phone Number
6194420544
Provider SSA County
470
Provider County Name
San Diego
Ownership Type
For profit - Corporation
Number of Certified Beds
151
Number of Residents in Certified Beds
143
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JEFFREY PINE HOLDINGS LLC
Date First Approved to Provide Medicare and Medicaid services
1967-08-17
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
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.29266
Reported LPN Staffing Hours per Resident per Day
1.03846
Reported RN Staffing Hours per Resident per Day
0.88322
Reported Licensed Staffing Hours per Resident per Day
1.92168
Reported Total Nurse Staffing Hours per Resident per Day
4.21434
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09685
Expected CNA Staffing Hours per Resident per Day
2.58021
Expected LPN Staffing Hours per Resident per Day
0.79046
Expected RN Staffing Hours per Resident per Day
1.34115
Expected Total Nurse Staffing Hours per Resident per Day
4.71182
Adjusted CNA Staffing Hours per Resident per Day
2.18025
Adjusted LPN Staffing Hours per Resident per Day
1.09041
Adjusted RN Staffing Hours per Resident per Day
0.49207
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60532
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-10-17
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
12
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-12-06
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
9
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
54.66700
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
7
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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