Castle Manor Convalescent Center - National City Nursing Home
General Information
UPDATEFederal Provider Number
555263
Provider Name
CASTLE MANOR CONVALESCENT CENTER
Provider Address
541 V AVENUE
NATIONAL CITY, CA 91950
NATIONAL CITY, CA 91950
Provider Phone Number
(619) 791-7900
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GHC OF NATIONAL CITY II, LLC
Date First Approved to Provide Medicare and Medicaid services
1987-06-22
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
3
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
2.19130
Reported LPN Staffing Hours per Resident per Day
0.98370
Reported RN Staffing Hours per Resident per Day
0.89511
Reported Licensed Staffing Hours per Resident per Day
1.87880
Reported Total Nurse Staffing Hours per Resident per Day
4.07011
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22446
Expected CNA Staffing Hours per Resident per Day
2.75985
Expected LPN Staffing Hours per Resident per Day
0.84091
Expected RN Staffing Hours per Resident per Day
1.30573
Expected Total Nurse Staffing Hours per Resident per Day
4.90649
Adjusted CNA Staffing Hours per Resident per Day
1.94822
Adjusted LPN Staffing Hours per Resident per Day
0.97094
Adjusted RN Staffing Hours per Resident per Day
0.51222
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34378
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2014-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-02-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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