Camarillo Healthcare Center - Camarillo Nursing Home
General Information
UPDATEFederal Provider Number
555770
Provider Name
CAMARILLO HEALTHCARE CENTER
Provider Address
205 GRANADA ST
CAMARILLO, CA 93010
CAMARILLO, CA 93010
Provider Phone Number
(805) 482-9805
Provider SSA County
660
Provider County Name
Ventura
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
114
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CAMARILLO COMMUNITY CARE INC
Date First Approved to Provide Medicare and Medicaid services
2001-04-11
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
2.92581
Reported LPN Staffing Hours per Resident per Day
0.65591
Reported RN Staffing Hours per Resident per Day
1.06882
Reported Licensed Staffing Hours per Resident per Day
1.72473
Reported Total Nurse Staffing Hours per Resident per Day
4.65054
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25591
Expected CNA Staffing Hours per Resident per Day
2.56768
Expected LPN Staffing Hours per Resident per Day
0.68475
Expected RN Staffing Hours per Resident per Day
1.16399
Expected Total Nurse Staffing Hours per Resident per Day
4.41642
Adjusted CNA Staffing Hours per Resident per Day
2.79593
Adjusted LPN Staffing Hours per Resident per Day
0.79504
Adjusted RN Staffing Hours per Resident per Day
0.68611
Adjusted Total Nurse Staffing Hours per Resident per Day
4.24459
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-07-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-09-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
9
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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