Beaumont Care Center - Beaumont Nursing Home
General Information
UPDATEFederal Provider Number
555135
Provider Name
BEAUMONT CARE CENTER
Provider Address
1441 N MICHIGAN AVENUE
BEAUMONT, CA 92223
BEAUMONT, CA 92223
Provider Phone Number
(951) 769-2500
Provider SSA County
430
Provider County Name
Riverside
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
87
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DAVID KLEIS INC
Date First Approved to Provide Medicare and Medicaid services
1981-04-10
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
3.44188
Reported LPN Staffing Hours per Resident per Day
0.86000
Reported RN Staffing Hours per Resident per Day
0.43063
Reported Licensed Staffing Hours per Resident per Day
1.29063
Reported Total Nurse Staffing Hours per Resident per Day
4.73251
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.35837
Expected LPN Staffing Hours per Resident per Day
0.54762
Expected RN Staffing Hours per Resident per Day
0.77684
Expected Total Nurse Staffing Hours per Resident per Day
3.68283
Adjusted CNA Staffing Hours per Resident per Day
3.58100
Adjusted LPN Staffing Hours per Resident per Day
1.30345
Adjusted RN Staffing Hours per Resident per Day
0.41420
Adjusted Total Nurse Staffing Hours per Resident per Day
5.17978
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
48
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-11-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
23
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
148
Cycle 3 Standard Health Survey Date
2012-11-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
148
Total Weighted Health Survey Score
60.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
4
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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