Carehouse Healthcare Center - Santa Ana Nursing Home
General Information
UPDATEFederal Provider Number
555765
Provider Name
CAREHOUSE HEALTHCARE CENTER
Provider Address
1800 OLD TUSTIN ROAD
SANTA ANA, CA 92705
SANTA ANA, CA 92705
Provider Phone Number
(714) 835-4900
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
174
Number of Residents in Certified Beds
140
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CAREHOUSE HEALTHCARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
2000-12-01
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
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.40857
Reported LPN Staffing Hours per Resident per Day
0.99429
Reported RN Staffing Hours per Resident per Day
2.12286
Reported Licensed Staffing Hours per Resident per Day
3.11714
Reported Total Nurse Staffing Hours per Resident per Day
5.52572
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10679
Expected CNA Staffing Hours per Resident per Day
2.51261
Expected LPN Staffing Hours per Resident per Day
0.70129
Expected RN Staffing Hours per Resident per Day
1.23747
Expected Total Nurse Staffing Hours per Resident per Day
4.45138
Adjusted CNA Staffing Hours per Resident per Day
2.35210
Adjusted LPN Staffing Hours per Resident per Day
1.17677
Adjusted RN Staffing Hours per Resident per Day
1.28181
Adjusted Total Nurse Staffing Hours per Resident per Day
5.00376
Cycle 1 Total Number of Health Deficiencies
24
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-06-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
24
Cycle 2 Number of Standard Health Deficiencies
20
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-04-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
28
Cycle 3 Number of Standard Health Deficiencies
23
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
195
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
98
Cycle 3 Total Health Score
293
Total Weighted Health Survey Score
140.16700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
11
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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