Brookdale Camarillo - Camarillo Nursing Home
General Information
UPDATEFederal Provider Number
555876
Provider Name
BROOKDALE CAMARILLO
Provider Address
6000 SANTA ROSA ROAD
CAMARILLO, CA 93012
CAMARILLO, CA 93012
Provider Phone Number
(805) 388-8086
Provider SSA County
660
Provider County Name
Ventura
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
42
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2012-05-09
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.71310
Reported LPN Staffing Hours per Resident per Day
1.19167
Reported RN Staffing Hours per Resident per Day
1.00000
Reported Licensed Staffing Hours per Resident per Day
2.19167
Reported Total Nurse Staffing Hours per Resident per Day
4.90477
Reported Physical Therapist Staffing Hours per Resident Per Day
0.39762
Expected CNA Staffing Hours per Resident per Day
2.48334
Expected LPN Staffing Hours per Resident per Day
0.68927
Expected RN Staffing Hours per Resident per Day
1.37582
Expected Total Nurse Staffing Hours per Resident per Day
4.54843
Adjusted CNA Staffing Hours per Resident per Day
2.68072
Adjusted LPN Staffing Hours per Resident per Day
1.43497
Adjusted RN Staffing Hours per Resident per Day
0.54309
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34669
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-05
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
3
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
2013-02-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
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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