Alta Gardens Care Center - Garden Grove Nursing Home
General Information
UPDATEFederal Provider Number
555473
Provider Name
ALTA GARDENS CARE CENTER
Provider Address
13075 BLACKBIRD STREET
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
Provider Phone Number
(714) 530-6322
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
129
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALTA CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1999-07-30
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
2
Health Inspection Rating Footnote
QM Rating
5
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
2.47991
Reported LPN Staffing Hours per Resident per Day
0.63084
Reported RN Staffing Hours per Resident per Day
0.78598
Reported Licensed Staffing Hours per Resident per Day
1.41682
Reported Total Nurse Staffing Hours per Resident per Day
3.89673
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10234
Expected CNA Staffing Hours per Resident per Day
2.65646
Expected LPN Staffing Hours per Resident per Day
0.62715
Expected RN Staffing Hours per Resident per Day
0.98601
Expected Total Nurse Staffing Hours per Resident per Day
4.26961
Adjusted CNA Staffing Hours per Resident per Day
2.29063
Adjusted LPN Staffing Hours per Resident per Day
0.83488
Adjusted RN Staffing Hours per Resident per Day
0.59562
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67886
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-10-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-08-05
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-09-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
68.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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