Braswell's Community Convalescent Center, Lp - Yucaipa Nursing Home
General Information
UPDATEFederal Provider Number
56365
Provider Name
BRASWELL'S COMMUNITY CONVALESCENT CENTER, LP
Provider Address
13542 SECOND ST.
YUCAIPA, CA 92399
YUCAIPA, CA 92399
Provider Phone Number
(909) 795-2421
Provider SSA County
460
Provider County Name
San Bernardino
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
82
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BRASWELLS COMMUNITY CONVALESCENT , LTD A CA L.P.
Date First Approved to Provide Medicare and Medicaid services
1972-11-06
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.32763
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.70724
Reported Licensed Staffing Hours per Resident per Day
0.70724
Reported Total Nurse Staffing Hours per Resident per Day
4.03487
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01974
Expected CNA Staffing Hours per Resident per Day
2.21997
Expected LPN Staffing Hours per Resident per Day
0.53223
Expected RN Staffing Hours per Resident per Day
0.82289
Expected Total Nurse Staffing Hours per Resident per Day
3.57509
Adjusted CNA Staffing Hours per Resident per Day
3.67799
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.64218
Adjusted Total Nurse Staffing Hours per Resident per Day
4.54930
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
8
Cycle 1 Standard Survey Health Date
2015-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2014-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-04-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
1
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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