Chapman Convalescent Hospital - Riverside Nursing Home
General Information
UPDATEFederal Provider Number
555331
Provider Name
CHAPMAN CONVALESCENT HOSPITAL
Provider Address
4301 CAROLINE COURT
RIVERSIDE, CA 92506
RIVERSIDE, CA 92506
Provider Phone Number
(951) 683-7111
Provider SSA County
430
Provider County Name
Riverside
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHAPMAN CONVALESCENT HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1988-10-28
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.27778
Reported LPN Staffing Hours per Resident per Day
0.75926
Reported RN Staffing Hours per Resident per Day
0.74722
Reported Licensed Staffing Hours per Resident per Day
1.50648
Reported Total Nurse Staffing Hours per Resident per Day
3.78426
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10556
Expected CNA Staffing Hours per Resident per Day
2.66861
Expected LPN Staffing Hours per Resident per Day
0.71292
Expected RN Staffing Hours per Resident per Day
1.17981
Expected Total Nurse Staffing Hours per Resident per Day
4.56134
Adjusted CNA Staffing Hours per Resident per Day
2.09435
Adjusted LPN Staffing Hours per Resident per Day
0.88394
Adjusted RN Staffing Hours per Resident per Day
0.47323
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34419
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-05-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-05-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-07-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
51.33300
Number of Facility Reported Incidents
1
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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