Citrus Nursing Center - Fontana Nursing Home
General Information
UPDATEFederal Provider Number
55872
Provider Name
CITRUS NURSING CENTER
Provider Address
9440 CITRUS AVENUE
FONTANA, CA 92335
FONTANA, CA 92335
Provider Phone Number
9098233481
Provider SSA County
460
Provider County Name
San Bernardino
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CITRUS NURSING CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1968-01-29
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
2.85222
Reported LPN Staffing Hours per Resident per Day
1.08278
Reported RN Staffing Hours per Resident per Day
0.71444
Reported Licensed Staffing Hours per Resident per Day
1.79722
Reported Total Nurse Staffing Hours per Resident per Day
4.64944
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17611
Expected CNA Staffing Hours per Resident per Day
2.54409
Expected LPN Staffing Hours per Resident per Day
0.68399
Expected RN Staffing Hours per Resident per Day
1.17514
Expected Total Nurse Staffing Hours per Resident per Day
4.40322
Adjusted CNA Staffing Hours per Resident per Day
2.75089
Adjusted LPN Staffing Hours per Resident per Day
1.31392
Adjusted RN Staffing Hours per Resident per Day
0.45427
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25630
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-09-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-11-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
102
Cycle 3 Standard Health Survey Date
2012-12-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
102
Total Weighted Health Survey Score
30.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
15800
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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