Anaheim Crest Nursing Center - Anaheim Nursing Home
General Information
UPDATEFederal Provider Number
555445
Provider Name
ANAHEIM CREST NURSING CENTER
Provider Address
3067 W ORANGE AVENUE
ANAHEIM, CA 92804
ANAHEIM, CA 92804
Provider Phone Number
(714) 827-2440
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
83
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
3067 ORANGE AVENUE LLC
Date First Approved to Provide Medicare and Medicaid services
1990-12-14
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.52388
Reported LPN Staffing Hours per Resident per Day
0.90672
Reported RN Staffing Hours per Resident per Day
0.70373
Reported Licensed Staffing Hours per Resident per Day
1.61045
Reported Total Nurse Staffing Hours per Resident per Day
4.13433
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09254
Expected CNA Staffing Hours per Resident per Day
2.39894
Expected LPN Staffing Hours per Resident per Day
0.62180
Expected RN Staffing Hours per Resident per Day
1.02875
Expected Total Nurse Staffing Hours per Resident per Day
4.04949
Adjusted CNA Staffing Hours per Resident per Day
2.58149
Adjusted LPN Staffing Hours per Resident per Day
1.21032
Adjusted RN Staffing Hours per Resident per Day
0.51113
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11535
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-02-20
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
144
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
144
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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