Buena Park Nursing Center - Buena Park Nursing Home

General Information

UPDATE
Federal Provider Number
55571
Provider Name
BUENA PARK NURSING CENTER
Provider Address
8520 WESTERN AVENUE
BUENA PARK, CA 90620
Provider Phone Number
(714) 828-8222
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
142
Number of Residents in Certified Beds
121
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
8520 WESTERN AVENUE INC
Date First Approved to Provide Medicare and Medicaid services
1977-04-01
Continuing Care Retirement Community
N
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
3.21942
Reported LPN Staffing Hours per Resident per Day
2.20496
Reported RN Staffing Hours per Resident per Day
0.89091
Reported Licensed Staffing Hours per Resident per Day
3.09587
Reported Total Nurse Staffing Hours per Resident per Day
6.31529
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06488
Expected CNA Staffing Hours per Resident per Day
2.50474
Expected LPN Staffing Hours per Resident per Day
0.88717
Expected RN Staffing Hours per Resident per Day
1.42481
Expected Total Nurse Staffing Hours per Resident per Day
4.81672
Adjusted CNA Staffing Hours per Resident per Day
3.15382
Adjusted LPN Staffing Hours per Resident per Day
2.06288
Adjusted RN Staffing Hours per Resident per Day
0.46721
Adjusted Total Nurse Staffing Hours per Resident per Day
5.28499
Cycle 1 Total Number of Health Deficiencies
24
Cycle 1 Number of Standard Health Deficiencies
21
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-11-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
112
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-09-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-09-25
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
98.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
6
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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