Buena Vista Care Center - Anaheim Nursing Home
General Information
UPDATEFederal Provider Number
55459
Provider Name
BUENA VISTA CARE CENTER
Provider Address
1440 S EUCLID AVENUE
ANAHEIM, CA 92802
ANAHEIM, CA 92802
Provider Phone Number
(714) 535-7264
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
1440 SOUTH EUCLID ST LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.72911
Reported LPN Staffing Hours per Resident per Day
0.95190
Reported RN Staffing Hours per Resident per Day
0.67342
Reported Licensed Staffing Hours per Resident per Day
1.62532
Reported Total Nurse Staffing Hours per Resident per Day
4.35443
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01962
Expected CNA Staffing Hours per Resident per Day
2.48141
Expected LPN Staffing Hours per Resident per Day
0.64522
Expected RN Staffing Hours per Resident per Day
1.01263
Expected Total Nurse Staffing Hours per Resident per Day
4.13926
Adjusted CNA Staffing Hours per Resident per Day
2.69863
Adjusted LPN Staffing Hours per Resident per Day
1.22452
Adjusted RN Staffing Hours per Resident per Day
0.49691
Adjusted Total Nurse Staffing Hours per Resident per Day
4.24044
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-07-24
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
27
Cycle 2 Number of Standard Health Deficiencies
26
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
124
Cycle 2 Standard Health Survey Date
2013-07-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
124
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
20
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
88.66700
Number of Facility Reported Incidents
1
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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