Community Care And Rehabilitation Center - Riverside Nursing Home
General Information
UPDATEFederal Provider Number
55409
Provider Name
COMMUNITY CARE AND REHABILITATION CENTER
Provider Address
4070 JURUPA AVENUE
RIVERSIDE, CA 92506
RIVERSIDE, CA 92506
Provider Phone Number
(951) 680-6500
Provider SSA County
430
Provider County Name
Riverside
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
162
Number of Residents in Certified Beds
139
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COMMUNITY CARE REHAB CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.02914
Reported LPN Staffing Hours per Resident per Day
1.33094
Reported RN Staffing Hours per Resident per Day
0.49676
Reported Licensed Staffing Hours per Resident per Day
1.82770
Reported Total Nurse Staffing Hours per Resident per Day
4.85684
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18094
Expected CNA Staffing Hours per Resident per Day
2.45654
Expected LPN Staffing Hours per Resident per Day
0.67519
Expected RN Staffing Hours per Resident per Day
1.10785
Expected Total Nurse Staffing Hours per Resident per Day
4.23958
Adjusted CNA Staffing Hours per Resident per Day
3.02564
Adjusted LPN Staffing Hours per Resident per Day
1.63610
Adjusted RN Staffing Hours per Resident per Day
0.33504
Adjusted Total Nurse Staffing Hours per Resident per Day
4.61778
Cycle 1 Total Number of Health Deficiencies
28
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
13
Cycle 1 Health Deficiency Score
124
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
124
Cycle 2 Total Number of Health Deficiencies
36
Cycle 2 Number of Standard Health Deficiencies
25
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
216
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
216
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-07-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
145.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
14
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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