Anaheim Terrace Care Center - Anaheim Nursing Home
General Information
UPDATEFederal Provider Number
56076
Provider Name
ANAHEIM TERRACE CARE CENTER
Provider Address
141 SOUTH KNOTT AVENUE
ANAHEIM, CA 92804
ANAHEIM, CA 92804
Provider Phone Number
(714) 821-7310
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ANAHEIM TERRACE CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1975-06-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.40183
Reported LPN Staffing Hours per Resident per Day
0.57317
Reported RN Staffing Hours per Resident per Day
0.88293
Reported Licensed Staffing Hours per Resident per Day
1.45610
Reported Total Nurse Staffing Hours per Resident per Day
3.85793
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16463
Expected CNA Staffing Hours per Resident per Day
2.53411
Expected LPN Staffing Hours per Resident per Day
0.71004
Expected RN Staffing Hours per Resident per Day
1.25395
Expected Total Nurse Staffing Hours per Resident per Day
4.49811
Adjusted CNA Staffing Hours per Resident per Day
2.32562
Adjusted LPN Staffing Hours per Resident per Day
0.67001
Adjusted RN Staffing Hours per Resident per Day
0.52612
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45722
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2015-02-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2014-01-03
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-11-20
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
71.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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