Afvw Health Center - Riverside Nursing Home
General Information
UPDATEFederal Provider Number
555404
Provider Name
AFVW HEALTH CENTER
Provider Address
17040 ARNOLD DR.
RIVERSIDE, CA 92518
RIVERSIDE, CA 92518
Provider Phone Number
(951) 238-6803
Provider SSA County
430
Provider County Name
Riverside
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
47
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
AIR FORCE VILLAGE WEST, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-01-05
Continuing Care Retirement Community
Y
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
3.82553
Reported LPN Staffing Hours per Resident per Day
1.60319
Reported RN Staffing Hours per Resident per Day
0.91596
Reported Licensed Staffing Hours per Resident per Day
2.51915
Reported Total Nurse Staffing Hours per Resident per Day
6.34468
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21702
Expected CNA Staffing Hours per Resident per Day
2.60004
Expected LPN Staffing Hours per Resident per Day
0.71669
Expected RN Staffing Hours per Resident per Day
1.31101
Expected Total Nurse Staffing Hours per Resident per Day
4.62774
Adjusted CNA Staffing Hours per Resident per Day
3.61021
Adjusted LPN Staffing Hours per Resident per Day
1.85665
Adjusted RN Staffing Hours per Resident per Day
0.52205
Adjusted Total Nurse Staffing Hours per Resident per Day
5.52640
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-11-06
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
17
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
124
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
124
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
78.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
10
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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