Arroyo Vista Nursing Center - San Diego Nursing Home
General Information
UPDATEFederal Provider Number
55505
Provider Name
ARROYO VISTA NURSING CENTER
Provider Address
3022 45TH STREET
SAN DIEGO, CA 92105
SAN DIEGO, CA 92105
Provider Phone Number
(619) 283-5855
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
53
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CITY HEIGHTS HEALTH ASSOCIATES LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.33000
Reported LPN Staffing Hours per Resident per Day
0.93400
Reported RN Staffing Hours per Resident per Day
1.36500
Reported Licensed Staffing Hours per Resident per Day
2.29900
Reported Total Nurse Staffing Hours per Resident per Day
6.62900
Reported Physical Therapist Staffing Hours per Resident Per Day
0.29000
Expected CNA Staffing Hours per Resident per Day
2.47671
Expected LPN Staffing Hours per Resident per Day
0.69980
Expected RN Staffing Hours per Resident per Day
1.21776
Expected Total Nurse Staffing Hours per Resident per Day
4.39427
Adjusted CNA Staffing Hours per Resident per Day
4.28977
Adjusted LPN Staffing Hours per Resident per Day
1.10777
Adjusted RN Staffing Hours per Resident per Day
0.83755
Adjusted Total Nurse Staffing Hours per Resident per Day
6.08084
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
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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