Centinela Grand Inc - Perris Nursing Home
General Information
UPDATEFederal Provider Number
56186
Provider Name
CENTINELA GRAND INC
Provider Address
2225 NORTH PERRIS BOULEVARD
PERRIS, CA 92571
PERRIS, CA 92571
Provider Phone Number
(951) 657-2135
Provider SSA County
430
Provider County Name
Riverside
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
109
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CENTINELA GRAND, INC.
Date First Approved to Provide Medicare and Medicaid services
1976-05-01
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
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
3.26731
Reported LPN Staffing Hours per Resident per Day
0.99712
Reported RN Staffing Hours per Resident per Day
0.63654
Reported Licensed Staffing Hours per Resident per Day
1.63365
Reported Total Nurse Staffing Hours per Resident per Day
4.90097
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06731
Expected CNA Staffing Hours per Resident per Day
2.37301
Expected LPN Staffing Hours per Resident per Day
0.59009
Expected RN Staffing Hours per Resident per Day
0.90295
Expected Total Nurse Staffing Hours per Resident per Day
3.86604
Adjusted CNA Staffing Hours per Resident per Day
3.37841
Adjusted LPN Staffing Hours per Resident per Day
1.40252
Adjusted RN Staffing Hours per Resident per Day
0.52675
Adjusted Total Nurse Staffing Hours per Resident per Day
5.10996
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2015-03-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2014-03-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
26
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2013-03-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
97.33300
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
17
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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