Bella Vista Transitional Care Center - San Luis Obispo Nursing Home
General Information
UPDATEFederal Provider Number
56189
Provider Name
BELLA VISTA TRANSITIONAL CARE CENTER
Provider Address
3033 AUGUSTA ST
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
Provider Phone Number
(805) 544-5100
Provider SSA County
500
Provider County Name
San Luis Obispo
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
162
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BAYSHORE HEALTHCARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1972-02-29
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.51311
Reported LPN Staffing Hours per Resident per Day
0.75146
Reported RN Staffing Hours per Resident per Day
0.99029
Reported Licensed Staffing Hours per Resident per Day
1.74175
Reported Total Nurse Staffing Hours per Resident per Day
4.25486
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16214
Expected CNA Staffing Hours per Resident per Day
2.59812
Expected LPN Staffing Hours per Resident per Day
0.61403
Expected RN Staffing Hours per Resident per Day
1.01504
Expected Total Nurse Staffing Hours per Resident per Day
4.22719
Adjusted CNA Staffing Hours per Resident per Day
2.37342
Adjusted LPN Staffing Hours per Resident per Day
1.01577
Adjusted RN Staffing Hours per Resident per Day
0.72898
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05729
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-02-20
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
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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