Anaheim Healthcare Center, Llc - Anaheim Nursing Home
General Information
UPDATEFederal Provider Number
55984
Provider Name
ANAHEIM HEALTHCARE CENTER, LLC
Provider Address
501 SOUTH BEACH BLVD.
ANAHEIM, CA 92804
ANAHEIM, CA 92804
Provider Phone Number
(714) 816-0540
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
250
Number of Residents in Certified Beds
201
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ANAHEIM HEALTHCARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1978-10-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.80348
Reported LPN Staffing Hours per Resident per Day
1.13632
Reported RN Staffing Hours per Resident per Day
0.67463
Reported Licensed Staffing Hours per Resident per Day
1.81095
Reported Total Nurse Staffing Hours per Resident per Day
4.61443
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07537
Expected CNA Staffing Hours per Resident per Day
2.53843
Expected LPN Staffing Hours per Resident per Day
0.69009
Expected RN Staffing Hours per Resident per Day
1.12180
Expected Total Nurse Staffing Hours per Resident per Day
4.35032
Adjusted CNA Staffing Hours per Resident per Day
2.70990
Adjusted LPN Staffing Hours per Resident per Day
1.36671
Adjusted RN Staffing Hours per Resident per Day
0.44935
Adjusted Total Nurse Staffing Hours per Resident per Day
4.27562
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-10-07
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
28
Cycle 2 Number of Standard Health Deficiencies
28
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
136
Cycle 2 Standard Health Survey Date
2013-07-17
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
68
Cycle 2 Total Health Score
204
Cycle 3 Total Number of Health Deficiencies
37
Cycle 3 Number of Standard Health Deficiencies
35
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
248
Cycle 3 Standard Health Survey Date
2012-08-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
248
Total Weighted Health Survey Score
143.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
38250
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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