Carmel Mountain Rehabilitation & Healthcare Center - San Diego Nursing Home
General Information
UPDATEFederal Provider Number
555326
Provider Name
CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER
Provider Address
11895 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
SAN DIEGO, CA 92128
Provider Phone Number
(858) 673-0101
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BERNARDO HEIGHTS HEALTHCARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1988-10-12
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
2.67655
Reported LPN Staffing Hours per Resident per Day
1.10310
Reported RN Staffing Hours per Resident per Day
1.64115
Reported Licensed Staffing Hours per Resident per Day
2.74425
Reported Total Nurse Staffing Hours per Resident per Day
5.42080
Reported Physical Therapist Staffing Hours per Resident Per Day
0.26504
Expected CNA Staffing Hours per Resident per Day
2.60178
Expected LPN Staffing Hours per Resident per Day
0.93794
Expected RN Staffing Hours per Resident per Day
1.39783
Expected Total Nurse Staffing Hours per Resident per Day
4.93755
Adjusted CNA Staffing Hours per Resident per Day
2.52421
Adjusted LPN Staffing Hours per Resident per Day
0.97615
Adjusted RN Staffing Hours per Resident per Day
0.87726
Adjusted Total Nurse Staffing Hours per Resident per Day
4.42541
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
9
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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