Banning Healthcare - Banning Nursing Home
General Information
UPDATEFederal Provider Number
555319
Provider Name
BANNING HEALTHCARE
Provider Address
3476 W. WILSON ST.
BANNING, CA 92220
BANNING, CA 92220
Provider Phone Number
(951) 849-4723
Provider SSA County
430
Provider County Name
Riverside
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLOVERLEAF ENTERPRISES, INC.
Date First Approved to Provide Medicare and Medicaid services
1988-06-06
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.24038
Reported LPN Staffing Hours per Resident per Day
0.85577
Reported RN Staffing Hours per Resident per Day
0.69615
Reported Licensed Staffing Hours per Resident per Day
1.55192
Reported Total Nurse Staffing Hours per Resident per Day
3.79230
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06827
Expected CNA Staffing Hours per Resident per Day
2.43134
Expected LPN Staffing Hours per Resident per Day
0.60547
Expected RN Staffing Hours per Resident per Day
0.89504
Expected Total Nurse Staffing Hours per Resident per Day
3.93186
Adjusted CNA Staffing Hours per Resident per Day
2.26098
Adjusted LPN Staffing Hours per Resident per Day
1.17312
Adjusted RN Staffing Hours per Resident per Day
0.58116
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88783
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
30
Cycle 2 Number of Standard Health Deficiencies
30
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
268
Cycle 2 Standard Health Survey Date
2013-05-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
268
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-05-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
104.00000
Number of Facility Reported Incidents
2
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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