Chapman Care Center - Garden Grove Nursing Home
General Information
UPDATEFederal Provider Number
55816
Provider Name
CHAPMAN CARE CENTER
Provider Address
12232 CHAPMAN AVE
GARDEN GROVE, CA 92840
GARDEN GROVE, CA 92840
Provider Phone Number
(714) 971-5517
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
12232 CHAPMAN AVE, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-09-01
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
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.36978
Reported LPN Staffing Hours per Resident per Day
2.02143
Reported RN Staffing Hours per Resident per Day
0.76978
Reported Licensed Staffing Hours per Resident per Day
2.79121
Reported Total Nurse Staffing Hours per Resident per Day
6.16099
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08352
Expected CNA Staffing Hours per Resident per Day
2.70981
Expected LPN Staffing Hours per Resident per Day
1.02341
Expected RN Staffing Hours per Resident per Day
1.44908
Expected Total Nurse Staffing Hours per Resident per Day
5.18230
Adjusted CNA Staffing Hours per Resident per Day
3.05129
Adjusted LPN Staffing Hours per Resident per Day
1.63941
Adjusted RN Staffing Hours per Resident per Day
0.39693
Adjusted Total Nurse Staffing Hours per Resident per Day
4.79214
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-08-13
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
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-09-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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